CHUN CHUNG FONG

MOODY AFB, GA
NPI1881905073
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2010-06-23
Last Update Date2014-11-21
Business Address
-- CHUN CHUNG FONG IDMT
3278 MITCHELL BLVD BLDG 900
MOODY AFB, GA 31699-1500
Phone number: 813-503-0354
Mailing Address
-- CHUN CHUNG FONG IDMT
3278 MITCHELL BLVD BLDG 900
MOODY AFB, GA 31699-1500
Phone number:
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