BLAIR IMAN FONG

IRVINE, CA
NPI1760135818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-01-29
Last Update Date2024-04-30
Business Address
Mr. BLAIR IMAN FONG ATC
1530 CONCORDIA
IRVINE, CA 92612-3203
Phone number: 949-214-3245
Mailing Address
Mr. BLAIR IMAN FONG ATC
1530 CONCORDIA
IRVINE, CA 92612-3203
Phone number: 949-214-3429
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