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1023670106
KOHEI JASON TAKADA
COLLEGE STATION, TX
NPI
1023670106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
KOHEI JASON TAKADA
601 LUTHER ST W APT 1823B
COLLEGE STATION, TX 77840-2798
Phone number: 512-230-2292
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Mailing Address
KOHEI JASON TAKADA
601 LUTHER ST W APT 1823B
COLLEGE STATION, TX 77840-2798
Phone number: 512-230-2292
Copy
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