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Individual
SAMUEL FLORIAN FONGUE FONGUE
Active
Individual
SAMUEL FLORIAN FONGUE FONGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
10/18/2012
Last updated
04/22/2026
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