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Doctor(Chinese):** (English): Gender:

District: Address:
(繁體)
(ENG)

Building Name 1: Floor 1:

Tel: Fax:

District2: Address2:
(繁體)
(ENG)

Building Name 2: Floor 2:

Tel2:

District3: Address3:
(繁體)
(ENG)

Building Name 3: Floor 3:

Tel3:

District4: Address4:
(繁體)
(ENG)

Building Name 4: Floor 4:

Tel4:

District5: Address5:
(繁體)
(ENG)

Building Name 5: Floor 5:

Tel5:


Type of Practice:

Speciality: