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1790373363
ALEX TAKEDA
SACRAMENTO, CA
NPI
1790373363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 34757)
Enumeration Date
2021-01-08
Last Update Date
2022-09-02
Business Address
Dr. ALEX TAKEDA OD
915 21ST ST
SACRAMENTO, CA 95811-3117
Phone number: 916-448-6622
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Mailing Address
Dr. ALEX TAKEDA OD
915 21ST ST
SACRAMENTO, CA 95811-3117
Phone number: 916-448-6622
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