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1043987084
CORTNEY WONG FUKUDA
LOS ANGELES, CA
NPI
1043987084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
CORTNEY WONG FUKUDA
1985 ZONAL AVE
LOS ANGELES, CA 90089-5305
Phone number: 323-442-1369
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Mailing Address
CORTNEY WONG FUKUDA
12146 PALMER DR
MOORPARK, CA 93021-8778
Phone number:
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