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1144212705
DAVID P MINICHAN
ROANOKE, VA
NPI
1144212705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: VA 0101012581)
Enumeration Date
2005-08-19
Last Update Date
2009-09-04
Business Address
Dr. DAVID P MINICHAN M.D.
1234 FRANKLIN RD SW
ROANOKE, VA 24016-4606
Phone number: 540-345-1561
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Mailing Address
Dr. DAVID P MINICHAN M.D.
1234 FRANKLIN RD SW
ROANOKE, VA 24016-4606
Phone number: 540-345-1561
Copy
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