KOICHI SHUN KUNITAKE

TWENTYNINE PALMS, CA
NPI1689837510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  118976)
Enumeration Date2008-07-10
Last Update Date2016-03-21
Business Address
-- KOICHI SHUN KUNITAKE
1145 STURGIS RD
TWENTYNINE PALMS, CA 92278
Phone number: 760-830-2722
Mailing Address
-- KOICHI SHUN KUNITAKE
3773 HAINES ST APT 18
SAN DIEGO, CA 92109-6625
Phone number: 858-245-2353
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