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1215567342
THERESA MIYASHITA
BUFFALO, NY
NPI
1215567342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 003864)
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
Dr. THERESA MIYASHITA PhD, ATC
598 LAFAYETTE AVE UNIT 207
BUFFALO, NY 14222-1481
Phone number: 716-812-8276
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Mailing Address
Dr. THERESA MIYASHITA PhD, ATC
598 LAFAYETTE AVE UNIT 207
BUFFALO, NY 14222-1481
Phone number: 716-812-8276
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