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1578853180
SOPHIA FONG
WEST COVINA, CA
NPI
1578853180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 24121)
Enumeration Date
2011-04-15
Last Update Date
2016-10-17
Business Address
-- SOPHIA FONG
420 S GLENDORA AVE
WEST COVINA, CA 91790-3001
Phone number: 909-620-8088
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Mailing Address
-- SOPHIA FONG
420 S GLENDORA AVE
WEST COVINA, CA 91790-3001
Phone number:
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