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1841261054
JOHN FONG
STOCKTON, CA
NPI
1841261054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G49494)
Enumeration Date
2006-01-27
Last Update Date
2010-01-06
Business Address
Mr. JOHN FONG MD
1130 MONACO CT
STOCKTON, CA 95207
Phone number: 209-478-2060
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Mailing Address
Mr. JOHN FONG MD
PO BOX 986
WOODBRIDGE, CA 95258-0986
Phone number: 209-339-9036
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