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1366288961
CARSON DOUGLAS MINICK
OMAHA, NE
NPI
1366288961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine Emergency Medical Services
(Licence: IN 0000000000)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
CARSON DOUGLAS MINICK PA-S
42ND AND EMILE ST 3225 S 44TH STREET OMAHA NE 68105
OMAHA, NE 68198-0001
Phone number: 402-559-6673
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Mailing Address
CARSON DOUGLAS MINICK PA-S
42ND AND EMILE ST 3225 S 44TH STREET OMAHA NE 68105
OMAHA, NE 68198-0001
Phone number: 402-559-6673
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