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1881256998
NICHOLAS LAWERANCE FONG
SAN MATEO, CA
NPI
1881256998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
NICHOLAS LAWERANCE FONG
424 PENINSULA AVE
SAN MATEO, CA 94401-1653
Phone number: 650-286-4396
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Mailing Address
NICHOLAS LAWERANCE FONG
2772 MANKAS BLVD
FAIRFIELD, CA 94534-3037
Phone number: 707-761-4340
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