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1033434055
AMY NABUKO FUNGE
SAN JOSE, CA
NPI
1033434055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 22074)
Enumeration Date
2010-04-01
Last Update Date
2010-04-01
Business Address
-- AMY NABUKO FUNGE
30 LAS COLINAS LN
SAN JOSE, CA 95119-1212
Phone number: 408-284-2812
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Mailing Address
-- AMY NABUKO FUNGE
30 LAS COLINAS LN
SAN JOSE, CA 95119-1212
Phone number: 408-284-2812
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