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1124638358
PATRICK MINNICK
COLUMBIA, ZZ
NPI
1124638358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IA DDS-09775)
Enumeration Date
2020-08-03
Last Update Date
2020-08-03
Business Address
PATRICK MINNICK
2400 JACKSON BLVD
COLUMBIA, ZZ
Phone number: 803-782-9802
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Mailing Address
PATRICK MINNICK
239 BEACONS FIELD RD
COLUMBIA, SC 29209-5096
Phone number:
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