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1972984797
SOICHIRO SHIOTA
BALDWIN CITY, KS
NPI
1972984797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-01130)
Enumeration Date
2015-06-17
Last Update Date
2016-10-13
Business Address
-- SOICHIRO SHIOTA LAT, ATC
618 8TH ST
BALDWIN CITY, KS 66006-6009
Phone number: 702-606-5794
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Mailing Address
-- SOICHIRO SHIOTA LAT, ATC
618 8TH ST PO BOX 65
BALDWIN CITY, KS 66006-6009
Phone number: 702-606-5794
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