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1710246517
TETSUO YAMANAKA
RALEIGH, NC
NPI
1710246517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 2285)
Enumeration Date
2012-05-14
Last Update Date
2014-01-09
Business Address
TETSUO YAMANAKA MS, ATC, PES
4600 TRINITY RD
RALEIGH, NC 27607-3924
Phone number: 919-513-7536
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Mailing Address
TETSUO YAMANAKA MS, ATC, PES
3205 QUIET MILL RD APT. A3
RALEIGH, NC 27612-4305
Phone number: 205-239-6180
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