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Individual
MR. MARCUS S MINIX SR.
Active
Individual
MR. MARCUS S MINIX SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
KY0407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52800265
—
KY
05
—
52904075
—
KY
05
—
77007342
—
KY
05
—
77900702
—
KY
01
—
NPI1215905393
DR. GUSSLER
KY
01
—
NPI1780685156
DR. CRUM
KY
Enumeration date
01/08/2007
Last updated
07/09/2007
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