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Glenna Mackinnon

NPI 1477717676 · on the registry since 2008 · sole proprietor

Practice

Address
1642 North Coast Hwy
Newport, OK 97405
Phone
(541) 574-9174

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-07-16
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma