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Individual

LUKE TOMOGIRO MATSUDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
894 E 100 N STE 2, PRICE, UT 84501-2711
(435) 650-2302
Mailing address
894 E 100 N STE 2, PRICE, UT 84501-2711
(435) 650-2302

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
9146400-1201
UT

Other

Enumeration date
11/29/2014
Last updated
11/29/2014
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