KOHTA KOMATSUBARA

CHAMPAIGN, IL
NPI1023850401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-06-07
Last Update Date2024-06-07
Business Address
KOHTA KOMATSUBARA
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821-1849
Phone number: 574-378-4313
Mailing Address
KOHTA KOMATSUBARA
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: 574-204-0116
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