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Individual
MIKEL MCMAKIN
Active
Individual
MIKEL MCMAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA219565
OR
363A00000X
Physician Assistant
Primary
PA61523671
WA
363AM0700X
Medical Physician Assistant
1218544
WA
363AM0700X
Medical Physician Assistant
PA219565
OR
Other
Enumeration date
01/30/2024
Last updated
01/28/2025
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