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1891823118
KYOKO SHIRAHATA
PORTLAND, OR
NPI
1891823118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- KYOKO SHIRAHATA ATC
930 SW HALL
PORTLAND, OR 97201
Phone number: 503-725-4073
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Mailing Address
-- KYOKO SHIRAHATA ATC
240 SW EDGEWAY DR APT #394
BEAVERTON, OR 97006-3982
Phone number: 406-531-7403
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