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1487764379
JERRY KIYOHARU WADA
GLENDALE, CA
NPI
1487764379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: CA G22808)
Enumeration Date
2006-08-30
Last Update Date
2021-03-12
Business Address
JERRY KIYOHARU WADA M.D.
1505 WILSON TER STE 200
GLENDALE, CA 91206-4073
Phone number: 818-409-0105
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Mailing Address
JERRY KIYOHARU WADA M.D.
541 W COLORADO ST STE 205
GLENDALE, CA 91204-3640
Phone number: 323-254-0046
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