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1629542345
TRISTAN DOUGLAS COPPINGER
PHOENIX, AZ
NPI
1629542345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
TRISTAN DOUGLAS COPPINGER
435 N 5TH ST
PHOENIX, AZ 85004-2157
Phone number: 602-827-2450
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Mailing Address
TRISTAN DOUGLAS COPPINGER
11003 177TH AVENUE CT E
BONNEY LAKE, WA 98391-5136
Phone number:
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