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1659093342
TED MASAO IKARI
ALPHARETTA, GA
NPI
1659093342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH 145029)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
TED MASAO IKARI CRNA
2575 NORTHWINDS PKWY
ALPHARETTA, GA 30009-2232
Phone number: 808-255-4455
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Mailing Address
TED MASAO IKARI CRNA
PO BOX 129
HONOMU, HI 96728-0129
Phone number: 808-255-4455
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