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1982366621
KENNETH MINOR
WACO, TX
NPI
1982366621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1056605)
Enumeration Date
2021-10-11
Last Update Date
2022-06-21
Business Address
KENNETH MINOR NP
2304 MARKETPLACE DR
WACO, TX 76711-2467
Phone number: 254-202-7300
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Mailing Address
KENNETH MINOR NP
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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