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1407903669
DEBRA K MCKINNON
MOSCOW, ID
NPI
1407903669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine Emergency Medical Services
(Licence: ID O-126)
Enumeration Date
2007-01-03
Last Update Date
2007-07-09
Business Address
DR. DEBRA K MCKINNON DO
700 S MAIN ST
MOSCOW, ID 83843-3056
Phone number: 208-882-4511
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Mailing Address
DR. DEBRA K MCKINNON DO
PO BOX 9899
MOSCOW, ID 83843-1800
Phone number: 208-875-1567
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