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1497764864
KENNETH ATSUO FUKUDA
IRVINE, CA
NPI
1497764864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 11134T)
Enumeration Date
2006-08-05
Last Update Date
2010-12-01
Business Address
Dr. KENNETH ATSUO FUKUDA O.D.
6270 IRVINE BLVD
IRVINE, CA 92620-2103
Phone number: 949-786-0143
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Mailing Address
Dr. KENNETH ATSUO FUKUDA O.D.
9615 NIGHTINGALE AVE
FOUNTAIN VALLEY, CA 92708-7234
Phone number: 714-403-1395
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