Individual
JEAN E ROUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8216
Mailing address
358 W 5TH ST, MANSFIELD, OH 44903-1559
(419) 522-7764
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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