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1134501653
LISA FUKUZATO
LOS ANGELES, CA
NPI
1134501653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT42778)
Enumeration Date
2015-06-20
Last Update Date
2023-11-27
Business Address
LISA FUKUZATO DPT
1640 MARENGO ST # ST-102
LOS ANGELES, CA 90033-1036
Phone number: 323-865-1200
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Mailing Address
LISA FUKUZATO DPT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-1200
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