Individual
EVAN ROSS DUPUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1951 1ST ST, CHENEY, WA 99004-2000
(509) 559-5038
Mailing address
111 COLLEGE HILL ST APT 78, CHENEY, WA 99004-2029
(509) 936-0961
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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