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1497237861
KIYOMASA KOMATSU
COLUMBIA, KY
NPI
1497237861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY 2000031780)
Enumeration Date
2018-09-03
Last Update Date
2018-09-03
Business Address
KIYOMASA KOMATSU MS, ATC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1223
Phone number: 270-634-2519
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Mailing Address
KIYOMASA KOMATSU MS, ATC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1223
Phone number: 270-634-2519
Copy
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