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Individual

DAVID KIYOSHI MIYASAKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1084 N BALLAS RD, DES PERES, MO 63131-3706
(435) 256-7494
Mailing address
1084 N BALLAS RD, DES PERES, MO 63131-3706

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2022046599
MO
111N00000X
Chiropractor
7872333-1202
UT
111N00000X
Chiropractor
CH60281895
WA

Other

Enumeration date
02/07/2011
Last updated
11/30/2022
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