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1790213767
DOUGLAS TOM IMURA
SOUTH SAN FRANCISCO, CA
NPI
1790213767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-06-02
Last Update Date
2017-06-02
Business Address
DOUGLAS TOM IMURA
505 CYPRESS AVE
SOUTH SAN FRANCISCO, CA 94080-2922
Phone number: 650-380-6149
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Mailing Address
DOUGLAS TOM IMURA
300 HARBOR BLVD BLDG E
BELMONT, CA 94002-4018
Phone number: 650-380-6149
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