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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1083376594 |
| LBN Legal business name | CHRISTINA MCKINLEY |
| Authorized official | CHRISTINA MCKINLEY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/12/2021 |
| Last updated | 10/12/2021 - About 5 years ago |
| Identifiers | n/a |
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CHRISTINA MCKINLEY
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CHRISTINA MCKINLEY