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1124013057
JOHN GLENN TAKETA
OXNARD, CA
NPI
1124013057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA G29937)
Enumeration Date
2005-09-16
Last Update Date
2018-09-24
Business Address
Dr. JOHN GLENN TAKETA M.D.
5011 SHORELINE WAY
OXNARD, CA 93035
Phone number: 805-760-4662
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Mailing Address
Dr. JOHN GLENN TAKETA M.D.
5011 SHORELINE WAY
OXNARD, CA 93035-2842
Phone number: 805-760-4662
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