Individual
MR. BRADLEY DUPEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5702 44TH ST SE, PUYALLUP, WA 98371
(253) 318-4544
Mailing address
9430 38TH AVE S, SEATTLE, WA 98118-5210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000014799
WA
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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