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1144989807
KATHRYN DYAN FUKUMOTO
LOS ANGELES, CA
NPI
1144989807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 95001624)
Enumeration Date
2021-12-09
Last Update Date
2022-03-29
Business Address
KATHRYN DYAN FUKUMOTO
4867 W SUNSET BLVD
LOS ANGELES, CA 90027-5969
Phone number: 833-574-2273
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Mailing Address
KATHRYN DYAN FUKUMOTO
4437 CASA GRANDE CIR APT 372
CYPRESS, CA 90630-6115
Phone number: 310-991-7579
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