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1962120543
MICHELLE KATHLEEN MACKIN
DALLAS, TX
NPI
1962120543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1089642)
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
MICHELLE KATHLEEN MACKIN FNP-C
2909 MCKINNEY AVE STE B
DALLAS, TX 75204-7413
Phone number: 214-871-7000
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Mailing Address
MICHELLE KATHLEEN MACKIN FNP-C
1123 CROWNVIEW LN
DALLAS, TX 75208-1297
Phone number: 469-235-1487
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