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1124192067
MICHAEL SHANE MACKINNON
SEATTLE, WA
NPI
1124192067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA CH00033810)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL SHANE MACKINNON DC
3611 WOODLAND PARK AVE N
SEATTLE, WA 98103-7905
Phone number: 206-826-1005
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Mailing Address
Dr. MICHAEL SHANE MACKINNON DC
3611 WOODLAND PARK AVE N
SEATTLE, WA 98103-7905
Phone number: 206-826-1005
Copy
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