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1134394612
FORTUNATO V ELIZAGA
HONOLULU, HI
NPI
1134394612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: HI 175500000x)
Enumeration Date
2008-04-25
Last Update Date
2017-06-30
Business Address
-- FORTUNATO V ELIZAGA m.d.
1712 LILIHA ST SUITE 306
HONOLULU, HI 96817-3114
Phone number: 808-524-1144
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Mailing Address
-- FORTUNATO V ELIZAGA m.d.
1712 LILIHA ST SUITE 306
HONOLULU, HI 96817-3114
Phone number: 808-524-1144
Copy
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