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1538469614
BRIAN FONG
ALAMEDA, CA
NPI
1538469614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 50966)
Enumeration Date
2010-10-23
Last Update Date
2010-10-23
Business Address
-- BRIAN FONG
867 ISLAND DR
ALAMEDA, CA 94502-6751
Phone number: 510-747-1647
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Mailing Address
-- BRIAN FONG
867 ISLAND DR
ALAMEDA, CA 94502-6751
Phone number:
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