Provider First Line Business Practice Location Address:
386 OOAZA TAKAHATA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAKAHATA
Provider Business Practice Location Address State Name:
YAMAGATA
Provider Business Practice Location Address Postal Code:
9920351
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
81238521500
Provider Business Practice Location Address Fax Number:
81238521515
Provider Enumeration Date:
01/21/2008