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1689774259
MARY JANE MCKINNIE
LAKE CHARLES, LA
NPI
1689774259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: LA AP05000)
Enumeration Date
2006-09-24
Last Update Date
2008-11-13
Business Address
Mrs. MARY JANE MCKINNIE NP
905 11TH ST
LAKE CHARLES, LA 70601-6230
Phone number: 337-433-7117
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Mailing Address
Mrs. MARY JANE MCKINNIE NP
905 11TH ST
LAKE CHARLES, LA 70601-6230
Phone number: 337-433-7117
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