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Individual
JOHNNY FONG JOE
Active
Individual
JOHNNY FONG JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33242
TX
183500000X
Pharmacist
E5675
MS
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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