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1114691300
YUYA NAKAMURA
CHANUTE, KS
NPI
1114691300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-01419)
Enumeration Date
2021-08-03
Last Update Date
2021-08-03
Business Address
Mr. YUYA NAKAMURA ATC, LAT
800 W 14TH ST
CHANUTE, KS 66720-2639
Phone number: 620-431-0373
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Mailing Address
Mr. YUYA NAKAMURA ATC, LAT
800 W 14TH ST
CHANUTE, KS 66720-2639
Phone number: 620-431-0373
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