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Individual
BRIAN E MCKINLEY SR
Active
Individual
BRIAN E MCKINLEY SR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC III
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCDCIII161353
OH
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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