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1376687772
KENICHI T MIYATA
MERCED, CA
NPI
1376687772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: CA A117496)
Enumeration Date
2007-02-18
Last Update Date
2013-05-28
Business Address
KENICHI T MIYATA MD
3393 G ST D
MERCED, CA 95340-0964
Phone number: 209-230-9065
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Mailing Address
KENICHI T MIYATA MD
3393 G ST D
MERCED, CA 95340-0964
Phone number: 209-230-3065
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