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Individual

ROY FUKUOKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 227-0162
Mailing address
8737 INYO CIR, EAGLE RIVER, AK 99577-9402
(907) 227-0162

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
281
AK

Other

Enumeration date
10/13/2005
Last updated
10/15/2010
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