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Individual
MR. KENNETH SCOTT MACPHERSON
Active
Individual
MR. KENNETH SCOTT MACPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD LICENSED DENTURIS
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
MT18
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150241
—
MT
Enumeration date
01/16/2007
Last updated
07/08/2007
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