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1194936435
CODY LEE MCKINNIS
CORVALLIS, OR
NPI
1194936435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OR 9432205)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
Mr. CODY LEE MCKINNIS
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5975
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Mailing Address
Mr. CODY LEE MCKINNIS
1722 TRUDELL CT SE
ALBANY, OR 97322-6983
Phone number: 541-908-5256
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