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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 |
