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1225287725
DOUGLAS S. TANAKA
FRESNO, CA
NPI
1225287725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA19873)
Enumeration Date
2008-09-09
Last Update Date
2022-01-03
Business Address
Mr. DOUGLAS S. TANAKA PA
2823 FRESNO ST
FRESNO, CA 93721-1324
Phone number: 559-459-4090
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Mailing Address
Mr. DOUGLAS S. TANAKA PA
4910 E CLINTON WAY SUITE 101
FRESNO, CA 93727-1560
Phone number: 559-443-2682
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