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Individual

MR. SHAWN ISAO KIMURA

Active
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Individual

MR. SHAWN ISAO KIMURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC,L.AC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC16449
CA
111NS0005X
Sports Physician Chiropractor
DC16449
CA
171100000X
Acupuncturist
AC6670
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC6670
ACUPUNCTURE LICENSE NUMBE
CA
Enumeration date
07/03/2006
Last updated
05/01/2014
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