Individual
YOHEI SHIMOZAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
605 UNIVERSITY DR, MONTICELLO, AR 71656
(870) 460-1658
Mailing address
PO BOX 2082, MONTICELLO, AR 71656-2082
(405) 219-1206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030616
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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