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1275953192
KENTARO ISHII
KANSAS CITY, MO
NPI
1275953192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2008020483)
Enumeration Date
2014-04-17
Last Update Date
2014-04-17
Business Address
KENTARO ISHII
6310 LEWIS RD
KANSAS CITY, MO 64132-3200
Phone number: 913-387-3825
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Mailing Address
KENTARO ISHII
6310 LEWIS RD
KANSAS CITY, MO 64132-3200
Phone number: 913-387-3825
Copy
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