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1154452217
WALTER J. MACKINNON
TROY, NY
NPI
1154452217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 257009)
Enumeration Date
2007-03-08
Last Update Date
2009-10-08
Business Address
Mr. WALTER J. MACKINNON CRNA
1300 MASSACHUSETTS AVE
TROY, NY 12180-1628
Phone number: 518-268-5554
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Mailing Address
Mr. WALTER J. MACKINNON CRNA
10 COMMERCE DR
NEW ROCHELLE, NY 10801-5214
Phone number: 914-637-3510
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