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1104446384
LISA FONG
HONOLULU, HI
NPI
1104446384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: HI PH-3952)
Enumeration Date
2020-04-17
Last Update Date
2020-04-17
Business Address
LISA FONG
1620 N SCHOOL ST
HONOLULU, HI 96817-1844
Phone number: 808-832-8265
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Mailing Address
LISA FONG
1173 21ST AVE
HONOLULU, HI 96816-4637
Phone number:
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