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Individual
DR. SHINICHIRO SUGIURA
Active
Individual
DR. SHINICHIRO SUGIURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36001406A
IN
2255A2300X
Athletic Trainer
Primary
RT007420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36001406A
ATHLETIC TRAINER
IN
01
—
RT007420
ATHLETIC TRAINER
PA
Enumeration date
02/17/2006
Last updated
08/31/2020
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