Individual
MR. BRYAN M. CUPP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
121 FAIRWAY PL NW, WARREN, OH 44483-1753
(330) 984-5950
Mailing address
121 FAIRWAY PL NW, WARREN, OH 44483-1753
(330) 984-5950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.341920
OH
Other
Enumeration date
12/01/2012
Last updated
12/01/2012
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