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1437190139
GLEN TOMIO FUKUMURA
LONG BEACH, CA
NPI
1437190139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A43686)
Enumeration Date
2006-06-10
Last Update Date
2012-12-27
Business Address
Dr. GLEN TOMIO FUKUMURA M.D.
2600 REDONDO AVE
LONG BEACH, CA 90806-2329
Phone number: 562-988-7349
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Mailing Address
Dr. GLEN TOMIO FUKUMURA M.D.
2600 REDONDO AVE
LONG BEACH, CA 90806-2329
Phone number: 562-988-7349
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