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1053960286
KYLE HIROMI HATANAKA
BOISE, ID
NPI
1053960286
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Former Name
KYLE HIROMI HATANAKA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
KYLE HIROMI HATANAKA Lac
9450 #120 FAIRVIEW AVENUE
BOISE, ID 83704
Phone number: 530-515-1064
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Mailing Address
KYLE HIROMI HATANAKA Lac
5112 NE 47TH PL
PORTLAND, OR 97218-2066
Phone number: 530-515-1064
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