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1619315728
SARA C FUKUZAWA
ROYAL OAK, MI
NPI
1619315728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601006688)
Enumeration Date
2013-06-11
Last Update Date
2015-09-03
Business Address
-- SARA C FUKUZAWA PA-C
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
-- SARA C FUKUZAWA PA-C
7324 SOUTHWEST FWY 1550
HOUSTON, TX 77074-2053
Phone number: 248-953-3706
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