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1518107556
RYAN TAKATANI
SAN DIEGO, CA
NPI
1518107556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA20060)
Enumeration Date
2009-03-04
Last Update Date
2022-01-06
Business Address
Mr. RYAN TAKATANI P.A.
10670 JOHN J HOPKINS DR
SAN DIEGO, CA 92121-1120
Phone number: 858-554-8984
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Mailing Address
Mr. RYAN TAKATANI P.A.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-554-8984
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