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Individual
WILLIE MCKEE JR.
Active
Individual
WILLIE MCKEE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2549
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005627156
ATENA
—
01
—
437483313174
BLUE CROSS/BLUE SHIELD
—
Enumeration date
02/09/2012
Last updated
02/09/2012
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