Provider Information for 1043558018
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Mr. ALEXANDER GINO
Sex: Male
NPI: 1043558018
Last Updated: 2021-05-28
Certification Date: 2021-05-28
Certification Date: 2021-05-28
Details
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NPI | 1043558018 | ||||||||||||||||
Enumeration Date | 2013-01-24 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | PO BOX 25972 HONOLULU, HI 96825-0972 United States Phone: | Fax: | ||||||||||||||||
Primary Practice Address | 1188 BISHOP ST STE 2905 HONOLULU, HI 96813-3312 United States Phone: 000-000-0000 | Fax: | ||||||||||||||||
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