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1104806140
SUSAN KATHERINE MACKINNON
MEDFORD, OR
NPI
1104806140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD14978)
Enumeration Date
2006-01-17
Last Update Date
2007-07-08
Business Address
-- SUSAN KATHERINE MACKINNON M.D.
19 MYRTLE ST
MEDFORD, OR 97504-7337
Phone number: 541-773-3863
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Mailing Address
-- SUSAN KATHERINE MACKINNON M.D.
19 MYRTLE ST
MEDFORD, OR 97504-7337
Phone number: 541-773-3863
Copy
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