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1558534008
WILSON JING FONG
SAN FRANCISCO, CA
NPI
1558534008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 17425)
Enumeration Date
2008-04-04
Last Update Date
2008-04-04
Business Address
-- WILSON JING FONG N.P.
4150 CLEMENT ST
SAN FRANCISCO, CA 94121-1545
Phone number: 415-221-4810
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Mailing Address
-- WILSON JING FONG N.P.
1926 BALBOA ST
SAN FRANCISCO, CA 94121-3103
Phone number: 415-730-5231
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