TAKEO ICHIYANAGI

IRMO, SC
NPI1144637620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2014-07-17
Last Update Date2014-07-17
Business Address
TAKEO ICHIYANAGI MS, ATC
6 YEARLING CT
IRMO, SC 29063-2939
Phone number: 803-556-1089
Mailing Address
TAKEO ICHIYANAGI MS, ATC
6 YEARLING CT
IRMO, SC 29063-2939
Phone number:
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