Individual
MR. D'GHON ANTOINE CULPEPPER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
10273 NE NOTCHLOG DR, APT 208, VANCOUVER, WA 98685-5406
(503) 896-0473
Mailing address
PO BOX 820664, VANCOUVER, WA 98682-0015
(503) 896-0473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60313132
WA
Other
Enumeration date
02/25/2013
Last updated
04/30/2015
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