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1346439908
TAKURO YAMADA
CAPE GIRARDEAU, MO
NPI
1346439908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2006008807)
Enumeration Date
2007-10-19
Last Update Date
2012-08-09
Business Address
TAKURO YAMADA ATC
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4928
Phone number: 573-335-8257
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Mailing Address
TAKURO YAMADA ATC
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4928
Phone number: 573-335-8257
Copy
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