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1578693875
DAVID E FUKUMOTO
FLAGSTAFF, AZ
NPI
1578693875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 1043)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. DAVID E FUKUMOTO P.T.
4100 E SPRING MEADOWS CIR
FLAGSTAFF, AZ 86004-7667
Phone number: 928-699-3532
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Mailing Address
Mr. DAVID E FUKUMOTO P.T.
4100 E SPRING MEADOWS CIR
FLAGSTAFF, AZ 86004-7667
Phone number: 928-699-3532
Copy
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