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1497019178
MIZUHO S. MIMOTO
SAN DIEGO, CA
NPI
1497019178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: CA A156492)
Enumeration Date
2012-06-27
Last Update Date
2018-07-17
Business Address
Dr. MIZUHO S. MIMOTO M.D.
200 W ARBOR DR
SAN DIEGO, CA 92103
Phone number: 858-657-1636
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Mailing Address
Dr. MIZUHO S. MIMOTO M.D.
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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