KENTA MIZUMOTO

LEXINGTON, KY
NPI1063129617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-11-02
Last Update Date2024-05-18
Business Address
KENTA MIZUMOTO
720 SPORTS CENTER DR
LEXINGTON, KY 40506-1298
Phone number: 859-539-4746
Mailing Address
KENTA MIZUMOTO
720 SPORTS CENTER DR
LEXINGTON, KY 40506-0001
Phone number: 859-539-4746
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