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Individual

CLETUS FONCHINGONG CHI

Active
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Individual

CLETUS FONCHINGONG CHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RRT

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
RCP.14456
OH
2279E0002X
Emergency Care Registered Respiratory Therapist
Primary
—
NULL
2279E0002X
Emergency Care Registered Respiratory Therapist
Primary
—
—

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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