Individual
MR. DEAN SOUPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
2155 W STATE ROUTE 89A STE 114, SEDONA, AZ 86336-5445
(928) 239-9706
(928) 239-9716
Mailing address
135 JUNIPER TRL, SEDONA, AZ 86336-6503
(248) 495-3220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-28698
AZ
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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