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1033616529
KENGO SUGIMOTO
LINCOLN, NE
NPI
1033616529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-04-10
Last Update Date
2018-05-01
Business Address
KENGO SUGIMOTO ATC
1400 R ST
LINCOLN, NE 68588-0007
Phone number: 402-472-4224
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Mailing Address
KENGO SUGIMOTO ATC
4867 GIBBS AVE
BOULDER, CO 80301-6207
Phone number:
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