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1942558408
FANNY PHUNG
CONCORD, CA
NPI
1942558408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 12768)
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
-- FANNY PHUNG OT
4367 CONCORD BLVD.
CONCORD, CA 94521
Phone number: 925-689-7457
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Mailing Address
-- FANNY PHUNG OT
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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