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1073264511
KENTA HOSOKAWA
JEFFERSON, LA
NPI
1073264511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 329654)
Enumeration Date
2022-01-17
Last Update Date
2022-01-17
Business Address
KENTA HOSOKAWA MAT, LAT, ATC
1201 S CLEARVIEW PKWY BLDG B
JEFFERSON, LA 70121-1015
Phone number: 504-596-1876
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Mailing Address
KENTA HOSOKAWA MAT, LAT, ATC
5855 CITRUS BLVD APT 314
HARAHAN, LA 70123-5804
Phone number: 504-596-1876
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