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Individual

YUKI OKAMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
7250 MESA COLLEGE DR, SAN DIEGO, CA 92111-4902
(619) 980-9057
(619) 980-9057
Mailing address
4847 W MOUNTAIN VIEW DR APT 6, SAN DIEGO, CA 92116-1746
(619) 980-9057

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030291
CA

Other

Enumeration date
10/06/2017
Last updated
10/06/2017
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