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Organization
NICOLE L. CUPP DPM PLLC
Active
Organization
NICOLE L. CUPP DPM PLLC
Active
Other names
Advanced Podiatry of Bartlesville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LYNN CUPP DPM (PHYSICIAN)
(918) 331-6422
Entity
Organization
Contact information
Practice address
226 SE DEBELL AVE, BARTLESVILLE, OK 74006-2343
(918) 876-0476
(918) 876-0479
Mailing address
226 SE DEBELL AVE, BARTLESVILLE, OK 74006-2343
(918) 876-0476
(918) 876-0479
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
301
OK
Other
Enumeration date
06/14/2015
Last updated
06/14/2015
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