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1619367356
ITSUKO YAMAGUCHI
DAYTONA BEACH, FL
NPI
1619367356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4062)
Enumeration Date
2015-02-03
Last Update Date
2015-02-03
Business Address
-- ITSUKO YAMAGUCHI M.S., ATC, LAT
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114-3012
Phone number: 386-481-2281
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Mailing Address
-- ITSUKO YAMAGUCHI M.S., ATC, LAT
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114-3012
Phone number: 386-481-2281
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