Individual
GARY DUPRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3295 BARNETT AVE # B, MCKINLEYVILLE, CA 95519-9346
(760) 579-3934
Mailing address
PO BOX 93, TRINIDAD, CA 95570-0093
(760) 579-3934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3197
CA
Other
Enumeration date
01/24/2022
Last updated
02/14/2022
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