TAKASHI MITA

FARGO, ND
NPI1326456849
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2014-07-28
Last Update Date2014-07-28
Business Address
Mr. TAKASHI MITA ATC
717 8TH ST N APT 9
FARGO, ND 58102-4470
Phone number: 308-293-7258
Mailing Address
Mr. TAKASHI MITA ATC
717 8TH ST N APT 9
FARGO, ND 58102-4470
Phone number: 308-293-7258
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