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1881036929
REINA LORINE FONG
SAN QUENTIN, CA
NPI
1881036929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY18602)
Enumeration Date
2013-07-17
Last Update Date
2013-07-17
Business Address
Dr. REINA LORINE FONG Ph.D.
1 MAIN ST
SAN QUENTIN, CA 94964-1000
Phone number: 415-454-1460
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Mailing Address
Dr. REINA LORINE FONG Ph.D.
PO BOX 216
SAN QUENTIN, CA 94964-0216
Phone number: 415-454-1460
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