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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 |
