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Individual
GLENN TAKESHI YAMAGATA
Active
Individual
GLENN TAKESHI YAMAGATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
9801565
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
9801565
NC
Other
Enumeration date
05/18/2006
Last updated
10/02/2025
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