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Individual

TAKURO YAMADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
48 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-8257
Mailing address
48 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-8257

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006008807
MO

Other

Enumeration date
10/19/2007
Last updated
08/09/2012
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