Individual
CHARLES CUPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 E IVINSON, LARAMIE, WY 82070
(307) 742-4332
(307) 745-1536
Mailing address
212 E IVINSON, LARAMIE, WY 82070
(307) 742-4332
(307) 745-1536
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
514
WY
Other
Enumeration date
10/04/2006
Last updated
08/06/2009
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