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1558953885
NICHOLAS JAMES TAKEKOSHI
COSTA MESA, CA
NPI
1558953885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 299882)
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
NICHOLAS JAMES TAKEKOSHI PT, DPT
485 E 17TH ST STE 650
COSTA MESA, CA 92627-4706
Phone number: 949-722-7374
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Mailing Address
NICHOLAS JAMES TAKEKOSHI PT, DPT
858 CALLE VALLARTA
SAN CLEMENTE, CA 92673-3523
Phone number: 714-656-5321
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