Individual
JONATHAN DUNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 277-8715
Mailing address
7716 E THELMA DR, PRESCOTT VALLEY, AZ 86314-7001
(928) 458-3284
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-24147
AZ
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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