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1013768217
CARLY AKEMI TAKATA
TORRANCE, CA
NPI
1013768217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-03-27
Last Update Date
2024-04-14
Business Address
CARLY AKEMI TAKATA
2603 BAYPORT DR
TORRANCE, CA 90503-8923
Phone number: 310-351-8657
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Mailing Address
CARLY AKEMI TAKATA
2603 BAYPORT DR
TORRANCE, CA 90503-8923
Phone number:
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