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1295315174
MASARU STEPHEN FUJIMOTO
FAR ROCKAWAY, NY
NPI
1295315174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
MASARU STEPHEN FUJIMOTO
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7360
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Mailing Address
MASARU STEPHEN FUJIMOTO
2865 LOS ALTOS DR
MERIDIAN, ID 83642-6739
Phone number: 208-850-6725
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