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1477834463
ALLEN GARY FONG
SAN JOSE, CA
NPI
1477834463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery
(Licence: CA C36904)
Enumeration Date
2011-09-02
Last Update Date
2011-09-02
Business Address
DR. ALLEN GARY FONG M.D.
2039 FOREST AVE STE # 201
SAN JOSE, CA 95128
Phone number: 408-806-1565
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Mailing Address
DR. ALLEN GARY FONG M.D.
P.O. BOX 3058
SARATOGA, CA 95070
Phone number: 408-806-1565
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