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Individual

DR. MARCHELL MARIE CUPPETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, EDD

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, MDC54, TAMPA, FL 33612-4742
(813) 974-7831
Mailing address
15210 AMBERLY DR, APT 2125, TAMPA, FL 33647-2196
(813) 974-7831
(813) 974-2976

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1479
FL

Other

Enumeration date
07/15/2006
Last updated
07/08/2007
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