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Individual

MR. BRIAN KIYOSHI NAKANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
380 HUKU LII PL, STE. 107, KIHEI, HI 96753-7043
(808) 879-8544
(808) 874-3899
Mailing address
380 HUKU LII PL, STE. 107, KIHEI, HI 96753-7043
(808) 879-8544
(808) 874-3899

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DIO-78
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000009233
HMSA
HI
Enumeration date
03/27/2007
Last updated
07/08/2007
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