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1134436041
MICHELLE K. FUKUMOTO
HONOLULU, HI
NPI
1134436041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: HI PSY-1502)
Enumeration Date
2010-09-13
Last Update Date
2014-11-12
Business Address
Dr. MICHELLE K. FUKUMOTO Ph.D.
1110 UNIVERSITY AVE. SUITE #403
HONOLULU, HI 96826
Phone number: 808-594-6217
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Mailing Address
Dr. MICHELLE K. FUKUMOTO Ph.D.
P.O. BOX 283249
HONOLULU, HI 96828
Phone number: 808-594-6217
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