Individual
DUSTIN JACOB MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
302 E 4TH ST, THE DALLES, OR 97058-2208
(909) 262-7027
Mailing address
302 E 4TH ST, THE DALLES, OR 97058-2208
(909) 262-7027
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
10181198
OR
Other
Enumeration date
12/01/2017
Last updated
03/17/2018
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