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1255366829
TETSUJI C KITA
BURLINGAME, CA
NPI
1255366829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 10704t)
Enumeration Date
2006-07-12
Last Update Date
2010-02-01
Business Address
Dr. TETSUJI C KITA O.D.
1322 BROADWAY
BURLINGAME, CA 94010-3426
Phone number: 650-343-4916
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Mailing Address
Dr. TETSUJI C KITA O.D.
1255 ROBLE RD
MILLBRAE, CA 94030-2938
Phone number: 650-259-9518
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