Individual
GWEN CUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E LIBERTY ST, LEIPSIC, OH 45856-1420
(419) 957-2434
Mailing address
420 E LIBERTY ST, LEIPSIC, OH 45856-1420
(419) 957-2434
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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