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1225119209
MICHAEL G KIYOMOTO
BERKELEY, CA
NPI
1225119209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT7506TPA)
Enumeration Date
2006-10-18
Last Update Date
2009-04-21
Business Address
-- MICHAEL G KIYOMOTO OD
2035 SAN PABLO AVE
BERKELEY, CA 94702-1613
Phone number: 510-843-0721
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Mailing Address
-- MICHAEL G KIYOMOTO OD
2035 SAN PABLO AVE
BERKELEY, CA 94702-1613
Phone number: 510-843-0721
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