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1730821141
CORY FUNG
SAN JOSE, CA
NPI
1730821141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95019734)
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
CORY FUNG FNP-C
1333 MERIDIAN AVE
SAN JOSE, CA 95125-5212
Phone number: 408-445-3400
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Mailing Address
CORY FUNG FNP-C
4208 RICKEYS WAY UNIT K
PALO ALTO, CA 94306-5912
Phone number: 650-776-5706
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