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1124120977
DANIEL BRUCE TAKEDA
SIMI VALLEY, CA
NPI
1124120977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G54086)
Enumeration Date
2006-09-02
Last Update Date
2011-10-05
Business Address
Mr. DANIEL BRUCE TAKEDA M.D.
2750 SYCAMORE DRIVE SUITE 202
SIMI VALLEY, CA 93065-1500
Phone number: 805-527-9140
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Mailing Address
Mr. DANIEL BRUCE TAKEDA M.D.
2750 SYCAMORE DRIVE SUITE 202
SIMI VALLEY, CA 93065-1500
Phone number: 805-527-9140
Copy
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