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1629243837
KEN TAKESITA
RIVERSIDE, CA
NPI
1629243837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: CA A84860)
Enumeration Date
2008-04-29
Last Update Date
2020-09-10
Business Address
Dr. KEN TAKESITA M.D.
4500 BROCKTON AVE STE 301
RIVERSIDE, CA 92501-4027
Phone number: 951-276-4505
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Mailing Address
Dr. KEN TAKESITA M.D.
4500 BROCKTON AVE STE 301
RIVERSIDE, CA 92501-4027
Phone number: 626-396-1105
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