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1689837510
KOICHI SHUN KUNITAKE
TWENTYNINE PALMS, CA
NPI
1689837510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA 118976)
Enumeration Date
2008-07-10
Last Update Date
2024-07-26
Business Address
KOICHI SHUN KUNITAKE
1145 STURGIS RD
TWENTYNINE PALMS, CA 92278
Phone number: 760-830-2722
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Mailing Address
KOICHI SHUN KUNITAKE
3525 DEL MAR HEIGHTS RD # 1987
SAN DIEGO, CA 92130-2199
Phone number: 858-245-2353
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