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1942663521
SATOSHI IIDA
FAYETTEVILLE, AR
NPI
1942663521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2016-04-01
Last Update Date
2016-04-01
Business Address
SATOSHI IIDA
1010 S DUNN AVE. APT 205A
FAYETTEVILLE, AR 72701
Phone number: 650-391-6377
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Mailing Address
SATOSHI IIDA
1010 S DUNN AVE. APT 205A
FAYETTEVILLE, AR 72701
Phone number:
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