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1750071189
MARISA FONG
SACRAMENTO, CA
NPI
1750071189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 302703)
Enumeration Date
2023-05-09
Last Update Date
2023-05-09
Business Address
MARISA FONG
2315 STOCKTON BLVD NORTH ADDITION OFFICE BUILDING ROOM 4212
SACRAMENTO, CA 95817
Phone number: 916-734-7040
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Mailing Address
MARISA FONG
6 STARGLOW CIR
SACRAMENTO, CA 95831-2733
Phone number:
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