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1760426944
CHASE KEN MITSUDA
HONOLULU, HI
NPI
1760426944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Mr. CHASE KEN MITSUDA ATC
2445 KAALA STREET MID PACIFIC INSTITUTE
HONOLULU, HI 96822-2299
Phone number: 808-973-5091
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Mailing Address
Mr. CHASE KEN MITSUDA ATC
45-697 KAMEHAMEHA HWY APT # 207
KANEOHE, HI 96744-2053
Phone number:
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