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1962918136
SHINGO MATSUBARA
DETROIT, MI
NPI
1962918136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000672)
Enumeration Date
2017-12-23
Last Update Date
2017-12-23
Business Address
SHINGO MATSUBARA ATC
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-9745
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Mailing Address
SHINGO MATSUBARA ATC
22555 CRANBROOKE DR
NOVI, MI 48375-4503
Phone number:
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