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1033208921
JEFFERY KEITH MINCKS
FORT RILEY, KS
NPI
1033208921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 1098)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
MR. JEFFERY KEITH MINCKS PA-C
600 CAISSON HILL ROAD CTMC
FORT RILEY, KS 66442
Phone number: 785-239-4411
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Mailing Address
MR. JEFFERY KEITH MINCKS PA-C
1703 7TH ST
CLAY CENTER, KS 67432-1803
Phone number: 785-447-0369
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