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Individual
YUJI ROBERT ITO
Active
Individual
YUJI ROBERT ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
224P00000X
Prosthetist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
674650001
PTAN
NC
05
—
7702811
—
NC
05
—
7795313
—
NC
Enumeration date
04/04/2007
Last updated
10/04/2019
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