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1538366489
BONAVENTURE FOOSONG ENG
THOUSAND OAKS, CA
NPI
1538366489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: CA G22291)
Enumeration Date
2007-07-02
Last Update Date
2012-10-31
Business Address
BONAVENTURE FOOSONG ENG MD
2230 LYNN ROAD SUITE 104
THOUSAND OAKS, CA 91360
Phone number: 805-497-0961
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Mailing Address
BONAVENTURE FOOSONG ENG MD
2230 LYNN ROAD SUITE 104
THOUSAND OAKS, CA 91360
Phone number: 805-497-0961
Copy
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