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Individual
EVELYN JOY KAGAWA
Active
Individual
EVELYN JOY KAGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66243Z
BLUE SHIELD
—
Enumeration date
08/03/2006
Last updated
04/23/2013
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