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Individual

NELSON TOSHIO IWATA

Active
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Individual

NELSON TOSHIO IWATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
206
HI
152W00000X
Optometrist
7968
CA
152W00000X
Optometrist
Primary
7968TPA
CA

Other

Enumeration date
05/16/2007
Last updated
10/21/2021
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