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1447550884
TETSUYA TAKEUCHI
ROCKFORD, IL
NPI
1447550884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IL 036133452)
Enumeration Date
2010-11-02
Last Update Date
2015-10-02
Business Address
Dr. TETSUYA TAKEUCHI M.D.
5668 E STATE ST
ROCKFORD, IL 61108-2464
Phone number: 815-229-7580
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Mailing Address
Dr. TETSUYA TAKEUCHI M.D.
5668 E STATE ST
ROCKFORD, IL 61108-2464
Phone number: 815-229-7580
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