Marlon Minor, RSA, CSA

NPI #1770887887 in Normal, Illinois

Provider Information

NPI Number
1770887887
Entity Type
Individual
Name
Marlon Minor, RSA, CSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
RSA, CSA
Enumeration Date
Jan 4, 2011
Last Updated
Sep 21, 2011

Practice Location

Address
112 BOEYKENS PL STE 2A
City
Normal
ZIP Code
61761-2152
Phone
(309) 846-4716

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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