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1326066291
JACKIE LEE MCKINNIS
LAWTON, OK
NPI
1326066291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 3118)
Enumeration Date
2006-07-18
Last Update Date
2016-03-14
Business Address
-- JACKIE LEE MCKINNIS D.D.S.
2101 NW FERRIS AVE
LAWTON, OK 73507
Phone number: 580-357-1581
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Mailing Address
-- JACKIE LEE MCKINNIS D.D.S.
2101 NW. FERRIS AVE
LAWTON, OK 73507
Phone number: 580-357-1581
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