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1851401970
SHIGERU TAKEUCHI
TERRE HAUTE, IN
NPI
1851401970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001300A)
Enumeration Date
2006-08-30
Last Update Date
2022-07-21
Business Address
-- SHIGERU TAKEUCHI ATC
ATHLETIC TRAINING DEPARTMENT INDIANA STATE UNIVERSITY
TERRE HAUTE, IN 47809-0001
Phone number: 812-237-9613
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Mailing Address
-- SHIGERU TAKEUCHI ATC
201 CRAWFORD ST APT 317
TERRE HAUTE, IN 47807-4660
Phone number: 812-237-7423
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