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Individual

DR. R. ALAN MINKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3400 GOODMAN RD W, HORN LAKE, MS 38637-1174
(662) 342-5368
(662) 342-7980
Mailing address
3400 GOODMAN RD W, HORN LAKE, MS 38637-1174
(662) 342-5368
(662) 342-7980

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
806
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115448
MS
Enumeration date
08/22/2005
Last updated
04/30/2008
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