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1336530104
TAICHI KITAGAWA
PORTLAND, OR
NPI
1336530104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10144276)
Enumeration Date
2015-02-13
Last Update Date
2015-02-13
Business Address
-- TAICHI KITAGAWA MS, ATC
1844 SW MORRISON ST
PORTLAND, OR 97205-1605
Phone number: 503-553-5570
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Mailing Address
-- TAICHI KITAGAWA MS, ATC
12610 NW BARNES RD APT 1
PORTLAND, OR 97229-6036
Phone number: 415-845-1214
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