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1083048516
JACK BASDEN MCKINNEY
RALEIGH, NC
NPI
1083048516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
(Licence: NC 92)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
Dr. JACK BASDEN MCKINNEY PhD
3412 HILLSBOROUGH ST
RALEIGH, NC 27607-5407
Phone number: 919-803-1369
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Mailing Address
Dr. JACK BASDEN MCKINNEY PhD
3412 HILLSBOROUGH ST
RALEIGH, NC 27607-5407
Phone number: 919-803-1369
Copy
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