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1083253025
ANDREW SHIBATA
SAN ANTONIO, TX
NPI
1083253025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7774)
Enumeration Date
2019-12-21
Last Update Date
2019-12-21
Business Address
Mr. ANDREW SHIBATA MA, ATC, LAT
ONE UTSA CIRCLE
SAN ANTONIO, TX 78249-1644
Phone number: 210-458-6918
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Mailing Address
Mr. ANDREW SHIBATA MA, ATC, LAT
7575 CALLAGHAN RD APT 1014
SAN ANTONIO, TX 78229-2878
Phone number: 818-481-0866
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