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1912054255
BRENT GONG
MADERA, CA
NPI
1912054255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA 22254)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
DR. BRENT GONG D.C.
1929 HOWARD RD
MADERA, CA 93637-5134
Phone number: 559-673-8888
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Mailing Address
DR. BRENT GONG D.C.
1929 HOWARD RD
MADERA, CA 93637-5134
Phone number: 559-673-8888
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