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1245721836
BRYAN TADAO IMAYANAGITA
LONG BEACH, CA
NPI
1245721836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-20
Last Update Date
2018-05-20
Business Address
BRYAN TADAO IMAYANAGITA DO
2776 PACIFIC AVE
LONG BEACH, CA 90806-2613
Phone number: 562-997-2180
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Mailing Address
BRYAN TADAO IMAYANAGITA DO
2776 PACIFIC AVE
LONG BEACH, CA 90806-2613
Phone number: 562-997-2180
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