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Individual

JASON MASTRO DUROCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
3307 3RD AVE W, SEATTLE, WA 98119-1940
(206) 281-2768
(206) 281-2266
Mailing address
3307 3RD AVE W, SEATTLE, WA 98119-1940
(206) 281-2768
(206) 281-2266

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
195
NE
2255A2300X
Athletic Trainer
A1 60062621
WA

Other

Enumeration date
04/14/2006
Last updated
06/23/2009
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