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1386207512
MCKINLEY MIZE
SANTA ROSA, CA
NPI
1386207512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA 95332932)
Enumeration Date
2019-04-14
Last Update Date
2023-08-08
Business Address
MCKINLEY MIZE RN
4623 THOMAS LAKE HARRIS DR UNIT 313
SANTA ROSA, CA 95403-0195
Phone number: 619-203-5758
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Mailing Address
MCKINLEY MIZE RN
4623 THOMAS LAKE HARRIS DR UNIT 313
SANTA ROSA, CA 95403-0195
Phone number: 619-203-5758
Copy
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