MASAYASU TAKAIWA

YPSILANTI, MI
NPI1053467555
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
Mr. MASAYASU TAKAIWA MA, ATC
799 N HEWITT RD 142 CONVOCATION CENTER
YPSILANTI, MI 48197-1701
Phone number: 734-487-5179
Mailing Address
Mr. MASAYASU TAKAIWA MA, ATC
31245 WELLINGTON DR APT 23301
NOVI, MI 48377-4236
Phone number: 734-395-7540
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