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1376681098
PHILIP N MACKINNON
LEWISTON, ID
NPI
1376681098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WA PSY235)
Enumeration Date
2007-02-02
Last Update Date
2007-07-09
Business Address
PHILIP N MACKINNON PH D
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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Mailing Address
PHILIP N MACKINNON PH D
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
Copy
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