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1336606144
TED TATSUSHI UOTANI
STONY BROOK, NY
NPI
1336606144
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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
2019-02-28
Last Update Date
2019-02-28
Business Address
TED TATSUSHI UOTANI
STONY BROOK UNIVERSITY HOSPITAL DEPT. OF HOSPITAL DENT 151 WESTCHESTER HALL
STONY BROOK, NY 11794-8711
Phone number: 631-444-2557
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Mailing Address
TED TATSUSHI UOTANI
264 S 16TH ST APT 25
PHILADELPHIA, PA 19102-3359
Phone number: 832-212-6155
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