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1497167175
JAIME FONG
SACRAMENTO, CA
NPI
1497167175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-05-29
Last Update Date
2018-04-02
Business Address
JAIME FONG
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-717-6241
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Mailing Address
JAIME FONG
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-717-6241
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