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1811967094
CHARLES E MCKINZIE
ALEXANDRIA, MN
NPI
1811967094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MN 025573)
Enumeration Date
2006-01-23
Last Update Date
2007-07-08
Business Address
-- CHARLES E MCKINZIE MD
1527 BROADWAY ST
ALEXANDRIA, MN 56308-2537
Phone number: 320-762-0399
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Mailing Address
-- CHARLES E MCKINZIE MD
1527 BROADWAY ST
ALEXANDRIA, MN 56308-2537
Phone number: 320-762-0399
Copy
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