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1619540358
JIMMY ERIC FONG
DUARTE, CA
NPI
1619540358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95019107)
Enumeration Date
2021-07-21
Last Update Date
2022-06-07
Business Address
Mr. JIMMY ERIC FONG RN, FNP - C
1500 DUARTE RD
DUARTE, CA 91010-3012
Phone number: 626-256-4673
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Mailing Address
Mr. JIMMY ERIC FONG RN, FNP - C
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number:
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