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Individual

MR. HARUKI MUKOHCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3 KEANEY RD., KINGSTON, RI 02881
(774) 281-2860
Mailing address
3 KEANEY RD., KINGSTON, RI 02881

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00469
RI

Other

Enumeration date
06/25/2018
Last updated
06/25/2018
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