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1174640015
JON TAKAHASHI
NASHVILLE, TN
NPI
1174640015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TN AT 0344)
Enumeration Date
2007-03-24
Last Update Date
2007-07-08
Business Address
JON TAKAHASHI ATC
460 GREAT CIRCLE RD
NASHVILLE, TN 37228-1404
Phone number: 615-416-3871
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Mailing Address
JON TAKAHASHI ATC
PO BOX 1123
BRENTWOOD, TN 37024-1123
Phone number: 615-416-3871
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