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1093101420
THEODORE CHANG
HONOLULU, HI
NPI
1093101420
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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
2015-04-13
Last Update Date
2015-04-13
Business Address
-- THEODORE CHANG D.O.
1356 LUSITANA ST STE. 510
HONOLULU, HI 96813-2409
Phone number: 808-586-2890
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Mailing Address
-- THEODORE CHANG D.O.
1356 LUSITANA ST STE. 510
HONOLULU, HI 96813-2409
Phone number: 808-586-2890
Copy
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