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1912097528
FUMISUKE MATSUO
SALT LAKE CITY, UT
NPI
1912097528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: UT 157923-1205)
Enumeration Date
2006-10-13
Last Update Date
2008-01-25
Business Address
FUMISUKE MATSUO MD
30 N 1900 E
SALT LAKE CITY, UT 84132-0001
Phone number: 801-585-6387
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Mailing Address
FUMISUKE MATSUO MD
PO BOX 58307
SALT LAKE CITY, UT 84158-0307
Phone number: 801-213-3800
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