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1255029948
RYOTARO FUKUDA
SACRAMENTO, CA
NPI
1255029948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
RYOTARO FUKUDA
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-734-3531
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Mailing Address
RYOTARO FUKUDA
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number:
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