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1205258712
SHOZO HASEGAWA
SAN DIEGO, CA
NPI
1205258712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 22662)
Enumeration Date
2014-01-17
Last Update Date
2018-03-17
Business Address
SHOZO HASEGAWA FNP-C
3606 FRONT ST
SAN DIEGO, CA 92103-4005
Phone number: 619-888-1441
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Mailing Address
SHOZO HASEGAWA FNP-C
3606 FRONT ST
SAN DIEGO, CA 92103-4005
Phone number: 619-888-1441
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