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1225683279
JACK FONDERWHITE
HONOLULU, HI
NPI
1225683279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: HI 1259)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
JACK FONDERWHITE LAc
1010 S KING ST STE 217
HONOLULU, HI 96814-1703
Phone number: 808-593-7717
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Mailing Address
JACK FONDERWHITE LAc
260 ELELUPE RD
HONOLULU, HI 96821-2209
Phone number:
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