DAVID INOUYE TAKASAKI

PROVO, UT
NPI1881179323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  10890883-4810)
Enumeration Date2018-10-01
Last Update Date2018-10-01
Business Address
DAVID INOUYE TAKASAKI ATC
331 SAB
PROVO, UT 84602
Phone number: 801-422-2096
Mailing Address
DAVID INOUYE TAKASAKI ATC
355 N 500 W APT 102
PROVO, UT 84601-2601
Phone number: 801-388-2710
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