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Organization
NANCY T IMAMOTO OD PC
Active
Organization
NANCY T IMAMOTO OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY IMAMOTO O.D. (PRESIDENT)
(310) 329-4128
Entity
Organization
Contact information
Practice address
1713 W ARTESIA BLVD, GARDENA, CA 90248-3220
(310) 329-4128
(310) 329-9180
Mailing address
1713 W ARTESIA BLVD, GARDENA, CA 90248-3220
(310) 329-4128
(310) 329-9180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Enumeration date
07/17/2015
Last updated
10/02/2015
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