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1871526228
KENICHI TANAKA
OKLAHOMA CITY, OK
NPI
1871526228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OK 37436)
Enumeration Date
2006-07-09
Last Update Date
2021-02-02
Business Address
KENICHI TANAKA M.D.
920 STANTON L YOUNG BLVD # WP1140
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-4351
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Mailing Address
KENICHI TANAKA M.D.
PO BOX 26901 WP1140
OKLAHOMA CITY, OK 73126-0901
Phone number: 405-271-4351
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