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Individual

DR. JULES ERNEST MINVIELLE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
116 PEACE ST, ABBEVILLE, LA 70510-5145
(337) 898-2572
Mailing address
116 PEACE ST, ABBEVILLE, LA 70510-5145
(337) 898-2489

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4036
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1840360
LA
Enumeration date
01/08/2007
Last updated
06/09/2011
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