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Dr. Carl Augustine Minning JR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. Carl Augustine Minning JR.
Gender: M
Provider License Number If Given: 35044923M

NPI Information:

NPI: 1316940513
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/9/2007

Provider Business Mailing Address:

Address: 2935 MAPLE AVE
Zanesville, OH 43701
Phone Number: 7404541216
Fax Number: 7404543830

Provider Business Practice Location Address:

Address: 2935 MAPLE AVE
Zanesville, OH 43701
Phone Number: 7404541216
Fax Number: 7404543830

Provider Taxonomy:

Primary: 207W00000X
Secondary (if any):
State: OH

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