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1609951771
JUAN CARLOS MANIVEL
MINNEAPOLIS, MN
NPI
1609951771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology Anatomic Pathology
(Licence: MN 29459)
Enumeration Date
2006-10-26
Last Update Date
2007-07-09
Business Address
JUAN CARLOS MANIVEL M.D.
420 DELAWARE ST SE 760 MAYO BLDG
MINNEAPOLIS, MN 55455-0341
Phone number: 612-626-0622
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Mailing Address
JUAN CARLOS MANIVEL M.D.
420 DELAWARE ST SE MMC 609
MINNEAPOLIS, MN 55455-0341
Phone number: 612-626-0622
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