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1245297969
MARSHALL KEN KUBOTA
SANTA ROSA, CA
NPI
1245297969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G43681)
Enumeration Date
2006-04-27
Last Update Date
2012-02-06
Business Address
Dr. MARSHALL KEN KUBOTA MD
495 TESCONI CIR
SANTA ROSA, CA 95401-4619
Phone number: 707-419-7904
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Mailing Address
Dr. MARSHALL KEN KUBOTA MD
495 TESCONI CIR
SANTA ROSA, CA 95401-4619
Phone number: 707-419-7904
Copy
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