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1356361950
JOEL TRAVIS TANAKA
FORT CARSON, CO
NPI
1356361950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 9800712)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Dr. JOEL TRAVIS TANAKA M.D.
ROBINSON FAMILY MEDICINE CLINIC (TMC10)
FORT CARSON, CO 80913-4604
Phone number: 719-524-2207
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Mailing Address
Dr. JOEL TRAVIS TANAKA M.D.
EVANS ARMY COMMUNITY HOSPITAL (EACH) USA MEDDAC 1650 COCHRANE CIRCLE ATTN: CREDENTIALS OFFICE
FORT CARSON, CO 80913-4604
Phone number: 719-526-7844
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