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1083669147
GERALD LEROY MCKINSEY
MODESTO, CA
NPI
1083669147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17303)
Enumeration Date
2006-05-24
Last Update Date
2016-08-02
Business Address
-- GERALD LEROY MCKINSEY P.A-C
1409 E BRIGGSMORE AVE
MODESTO, CA 95355-2707
Phone number: 209-524-1211
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Mailing Address
-- GERALD LEROY MCKINSEY P.A-C
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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