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1346207289
MARK C. TAKATA
LA JOLLA, CA
NPI
1346207289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA A94975)
Enumeration Date
2006-04-26
Last Update Date
2007-09-05
Business Address
Dr. MARK C. TAKATA MD
10666 N TORREY PINES RD
LA JOLLA, CA 92037-1027
Phone number: 858-455-9100
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Mailing Address
Dr. MARK C. TAKATA MD
FILE 54433
LOS ANGELES, CA 90074-0001
Phone number:
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