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1972285583
KRISTINA CHIEMI FONG
LOS ANGELES, CA
NPI
1972285583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304215)
Enumeration Date
2023-08-03
Last Update Date
2023-09-21
Business Address
KRISTINA CHIEMI FONG DPT
1640 MARENGO ST STE 102
LOS ANGELES, CA 90033-1061
Phone number: 323-865-1200
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Mailing Address
KRISTINA CHIEMI FONG DPT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-1200
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