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1053871665
SAM SHOTA TAKAHASHI
SAN DIEGO, CA
NPI
1053871665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA 20A20569)
Enumeration Date
2019-03-20
Last Update Date
2023-08-10
Business Address
SAM SHOTA TAKAHASHI DO
3626 RUFFIN RD
SAN DIEGO, CA 92123-1810
Phone number: 858-565-9666
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Mailing Address
SAM SHOTA TAKAHASHI DO
3626 RUFFIN RD
SAN DIEGO, CA 92123-1810
Phone number: 858-565-9666
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