Individual
PAIGE ELLEN CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Mailing address
1115 HARBER RD, GROVE, OK 74344-7918
(918) 786-4434
(918) 786-4435
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
0000000
OK
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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