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1396301313
KEVIN NISHINO
LOMA LINDA, CA
NPI
1396301313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A177145)
Enumeration Date
2019-05-15
Last Update Date
2022-08-15
Business Address
KEVIN NISHINO
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4074
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Mailing Address
KEVIN NISHINO
11234 ANDERSON STREET GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354-2804
Phone number:
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