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Charles Cupps

Chiropractor in Laramie, WY. Individual provider (NPI-1).

NPI number1346335437
StatusActive
Last updated in NPPESAug 6, 2009

Details

NPI
1346335437
Entity type
Individual (NPI-1)
Name
Charles Cupps
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 4, 2006
Last updated
Aug 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor514WYYes

Practice location

212 E Ivinson
Laramie, WY 82070

Phone 307-742-4332 · Fax 307-745-1536

Mailing address

212 E Ivinson
Laramie, WY 82070

Phone 307-742-4332 · Fax 307-745-1536

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