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Individual
BILLY E. MINK JR.
Active
Individual
BILLY E. MINK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
12864
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126149
—
MS
05
—
1131717
—
LA
Enumeration date
06/14/2006
Last updated
06/14/2012
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