Individual
DANIEL LOUIS CUBBEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 N CENTER ST, CASPER, WY 82601-1052
(760) 605-6544
Mailing address
1155 N CENTER ST, CASPER, WY 82601-1052
(760) 605-6544
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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