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1093953960
MICHAEL G BERUEDA
HONOLULU, HI
NPI
1093953960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2009-01-29
Last Update Date
2009-01-29
Business Address
-- MICHAEL G BERUEDA
4324 LAAKEA ST
HONOLULU, HI 96818-1965
Phone number: 808-423-8645
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Mailing Address
-- MICHAEL G BERUEDA
PO BOX 29082
HONOLULU, HI 96820-1482
Phone number: 808-423-8645
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