Individual
WAYNE DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 STATE ST, WATERTOWN, NY 13601-2839
(518) 651-2302
(315) 291-6601
Mailing address
PO BOX 608, MALONE, NY 12953-0608
(518) 483-1251
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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