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1285831123
THERESA LYNN MCKINNEY
POCATELLO, ID
NPI
1285831123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5457)
Enumeration Date
2007-07-02
Last Update Date
2024-05-23
Business Address
Dr. THERESA LYNN MCKINNEY D.D.S.
9272 W CHARLOTTE DR
POCATELLO, ID 83204-7210
Phone number: 937-405-9347
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Mailing Address
Dr. THERESA LYNN MCKINNEY D.D.S.
9272 W CHARLOTTE DR
POCATELLO, ID 83204-7210
Phone number: 937-405-9347
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