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1356783906
KEITH KAZUTO KOGA
BERKELEY, CA
NPI
1356783906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 719195)
Enumeration Date
2013-07-24
Last Update Date
2013-07-24
Business Address
Mr. KEITH KAZUTO KOGA RN
2222 BANCROFT WAY
BERKELEY, CA 94720-4300
Phone number: 510-642-2000
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Mailing Address
Mr. KEITH KAZUTO KOGA RN
346 KENILWORTH AVE
SAN LEANDRO, CA 94577-1912
Phone number:
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