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1639452279
STEVE FONG
GARDEN GROVE, CA
NPI
1639452279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 00000000)
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
-- STEVE FONG
12900 GARDEN GROVE BLVD SUITE 214A
GARDEN GROVE, CA 92843-2006
Phone number: 714-636-6286
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Mailing Address
-- STEVE FONG
4771 E PACIFIC COAST HWY B
LONG BEACH, CA 90804-3242
Phone number: 415-490-8361
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