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1871320333
KENTO IMAJO
OAKLAND, CA
NPI
1871320333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306912)
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
KENTO IMAJO
3701 BROADWAY
OAKLAND, CA 94611-5613
Phone number: 510-752-6179
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Mailing Address
KENTO IMAJO
3701 BROADWAY
OAKLAND, CA 94611-5613
Phone number: 510-752-6179
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