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1477385029
TAIJIRO KOYAMA
ATHENS, OH
NPI
1477385029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT007039)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
TAIJIRO KOYAMA LAT, ATC
200 RICHLAND AVE
ATHENS, OH 45701
Phone number: 585-815-5344
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Mailing Address
TAIJIRO KOYAMA LAT, ATC
9327 STATE ROUTE 682 APT 214
ATHENS, OH 45701
Phone number: 585-815-5344
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