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1629067590
ROY FUKUOKA
PALMER, AK
NPI
1629067590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AK 281)
Enumeration Date
2005-10-13
Last Update Date
2010-10-15
Business Address
-- ROY FUKUOKA
2500 S WOODWORTH LOOP
PALMER, AK 99645-8984
Phone number: 907-227-0162
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Mailing Address
-- ROY FUKUOKA
8737 INYO CIR
EAGLE RIVER, AK 99577-9402
Phone number: 907-227-0162
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