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1538855580
SHOGO TAKAYAMA
LOS ANGELES, CA
NPI
1538855580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 11085)
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
SHOGO TAKAYAMA
6080 CENTER DR. 6TH FLOOR SUITE #639
LOS ANGELES, CA 90045
Phone number: 323-972-7068
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Mailing Address
SHOGO TAKAYAMA
1309 AMHERST AVE APT 104
LOS ANGELES, CA 90025-2030
Phone number: 323-559-0276
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