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1689208183
DAIKI TANIYAMA
LOUISVILLE, KY
NPI
1689208183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-02-24
Last Update Date
2020-02-24
Business Address
DAIKI TANIYAMA
901 S 4TH ST
LOUISVILLE, KY 40203-3205
Phone number: 502-686-0183
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Mailing Address
DAIKI TANIYAMA
1511 BELLAMY PL UNIT 202C
LOUISVILLE, KY 40208-3706
Phone number:
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