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Individual

MR. DUSTIN L MINCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
1717 CENTENNIAL BLVD STE 5, SPRINGFIELD, OR 97477-3378
(541) 521-6655
Mailing address
1717 CENTENNIAL BLVD STE 5, SPRINGFIELD, OR 97477-3378
(541) 521-6655

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7429
OR

Other

Enumeration date
11/14/2006
Last updated
07/08/2007
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