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1366221731
MATTHEW MCKINNON
SALT LAKE CITY, UT
NPI
1366221731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
MATTHEW MCKINNON
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 435-695-7163
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Mailing Address
MATTHEW MCKINNON
2021 E SUNNYSIDE AVE UNIT 6401
SALT LAKE CITY, UT 84108-1507
Phone number: 435-695-7163
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