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1679933105
KEVIN FONG
SAN FRANCISCO, CA
NPI
1679933105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 291194)
Enumeration Date
2016-02-25
Last Update Date
2021-07-30
Business Address
KEVIN FONG DPT
290 DIVISION ST STE 200
SAN FRANCISCO, CA 94103-4892
Phone number: 415-508-5658
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Mailing Address
KEVIN FONG DPT
2129 FUNSTON PL
OAKLAND, CA 94602-2522
Phone number: 925-683-1505
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