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Individual
MASAHIRO TAKAKURA
Active
Individual
MASAHIRO TAKAKURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND, LAC, DC
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
CH00034639
WA
171100000X
Acupuncturist
AC2275
WA
175F00000X
Naturopath
Primary
NT1222
WA
Other
Enumeration date
04/05/2007
Last updated
12/08/2011
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