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1902464415
TAKUYA SUZUKI
FAYETTE, IA
NPI
1902464415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-05-30
Last Update Date
2020-10-29
Business Address
TAKUYA SUZUKI ATC
400 JONES ST
FAYETTE, IA 52142-9180
Phone number: 484-725-7748
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Mailing Address
TAKUYA SUZUKI ATC
400 JONES ST
FAYETTE, IA 52142-9180
Phone number: 484-725-7748
Copy
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