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1134904733
KENGO FUKUNAGA
IRVINE, CA
NPI
1134904733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
KENGO FUKUNAGA
17848 SKY PARK CIR STE B
IRVINE, CA 92614-6135
Phone number: 949-418-7167
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Mailing Address
KENGO FUKUNAGA
17848 SKY PARK CIR STE B
IRVINE, CA 92614-6135
Phone number:
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