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1558344465
DARYL TADASHI KUBOTSU
RIVERSIDE, CA
NPI
1558344465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA12055)
Enumeration Date
2005-11-23
Last Update Date
2008-05-09
Business Address
-- DARYL TADASHI KUBOTSU PA
7117 BROCKTON AVE
RIVERSIDE, CA 92506-2615
Phone number: 951-782-3853
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Mailing Address
-- DARYL TADASHI KUBOTSU PA
3660 ARLINGTON AVE
RIVERSIDE, CA 92506-3912
Phone number: 951-782-3853
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