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1104009117
KENNETH PAUL TAKAKI
COLTON, CA
NPI
1104009117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA 20A10221)
Enumeration Date
2007-12-12
Last Update Date
2007-12-12
Business Address
-- KENNETH PAUL TAKAKI DO
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-6370
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Mailing Address
-- KENNETH PAUL TAKAKI DO
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-6370
Copy
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