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1912279787
TED KIYOTOSHI NISHIMURA
BURBANK, CA
NPI
1912279787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 10983T)
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
Dr. TED KIYOTOSHI NISHIMURA O.D.
1051 W BURBANK BLVD
BURBANK, CA 91506-1421
Phone number: 818-841-7055
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Mailing Address
Dr. TED KIYOTOSHI NISHIMURA O.D.
5175 DAWES AVE
CULVER CITY, CA 90230-6011
Phone number: 310-398-9076
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