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1811086697
GORDON E. MACKINNON
SOUTHFIELD, MI
NPI
1811086697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301006861)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. GORDON E. MACKINNON Ph. D.
17336 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076-2113
Phone number: 248-583-9362
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Mailing Address
Dr. GORDON E. MACKINNON Ph. D.
17336 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076-2113
Phone number: 248-583-9362
Copy
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