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Individual

KAZUMI TAKEMASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 KAMOKILA BLVD STE 206, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
3457 KEAHI PL APT A, HONOLULU, HI 96822-7210

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
247200000X
Other Technician
BACB588152
HI

Other

Enumeration date
07/16/2021
Last updated
05/26/2023
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