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1841566767
TRACI ISE IWAMOTO
SAN FRANCISCO, CA
NPI
1841566767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA 303019)
Enumeration Date
2012-03-25
Last Update Date
2020-10-12
Business Address
TRACI ISE IWAMOTO M.D.
1855 4TH ST FL 3
SAN FRANCISCO, CA 94143-2350
Phone number: 415-353-2566
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Mailing Address
TRACI ISE IWAMOTO M.D.
4228 HOUMA BLVD SUITE 410
METARIE, LA 70006
Phone number: 504-883-3770
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