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1487297644
FONG CHANG
MERCED, CA
NPI
1487297644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 284206)
Enumeration Date
2019-10-21
Last Update Date
2019-10-29
Business Address
FONG CHANG
301 E 13TH ST STE D
MERCED, CA 95341-6211
Phone number: 209-386-1096
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Mailing Address
FONG CHANG
3433 W SHAW AVE STE 102
FRESNO, CA 93711-3229
Phone number:
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