Individual
YUICHI SASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 S.SAGAMONT AVE, E-14, SPRINGFIELD, MO 65807-4683
(330) 614-3565
Mailing address
3020 S SAGAMONT AVE, E-14, SPRINGFIELD, MO 65807-4683
(330) 614-3565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012016953
MO
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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