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1912789835
MINA MICHAEL LLC
CONWAY, AR
NPI
1912789835
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Entity Type
Organization
Authorized Contact
MINA MICHAEL KAMEL MICHAEL
Owner Of Entity
346-907-4805
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2023-10-16
Last Update Date
2024-05-06
Business Address
MINA MICHAEL LLC
1355 DAVE WARD DR STE 102
CONWAY, AR 72034-7082
Phone number: 346-907-4805
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Mailing Address
MINA MICHAEL LLC
PO BOX 242198
LITTLE ROCK, AR 72223-0021
Phone number: 346-907-4805
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