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Individual

MR. SHUSAKU HAYASHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1306 N EL PASO AVE, HULL BUILDING, SUITE 128, RUSSELLVILLE, AR 72801-8814
(479) 968-0642
(479) 498-6044
Mailing address
1306 N EL PASO AVE, HULL BUILDING, SUITE 128, RUSSELLVILLE, AR 72801-8814
(479) 968-0642
(479) 498-6044

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT265
AR

Other

Enumeration date
04/05/2010
Last updated
04/05/2010
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