Individual
ATSUSHI YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 8TH ST, TROY, NY 12180-3522
(479) 595-5139
Mailing address
2107 BURDETT AVE, TROY, NY 12180-3700
(479) 595-5139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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