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1184268807
PRISCILLA LYNN MCKINNON
RAEFORD, NC
NPI
1184268807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-11-06
Last Update Date
2019-11-06
Business Address
PRISCILLA LYNN MCKINNON
511 CYPRESS DR
RAEFORD, NC 28376-5323
Phone number: 910-978-5706
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Mailing Address
PRISCILLA LYNN MCKINNON
1716 SHAW RD
FAYETTEVILLE, NC 28311-2243
Phone number: 910-978-5706
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