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Individual

KEVIN YAMASHIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1260 41ST AVE STE N, CAPITOLA, CA 95010-3929
(831) 462-5000
Mailing address
127 CARLTON AVE APT 4, LOS GATOS, CA 95032-2748
(310) 902-6176

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/02/2008
Last updated
10/02/2008
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