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Victor Zuniga
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NPI Number Detailed Information
Provider Information:
Name: | Victor Zuniga |
Gender: | M |
Provider License Number If Given: | 23212 |
NPI Information:
NPI: | 1891794392 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/18/2005 |
Last Update Date: | 12/18/2007 |
Provider Business Mailing Address:
Address: | 201 E GROVER ST Shelby, NC 28150 |
Phone Number: | 7044801087 |
Fax Number: | 7044801150 |
Provider Business Practice Location Address:
Address: | 201 E GROVER ST Shelby, NC 28150 |
Phone Number: | 7044801087 |
Fax Number: | 7044801150 |
Provider Taxonomy:
Primary: | 207P00000X |
Secondary (if any): | |
State: | NC |