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Grant Mackinnon
Student in an Organized Health Care Education/Training Program in Muncie, Indiana
NPI 1720666795

Grant Mackinnon is a Student in an Organized Health Care Education/Training Program based in Muncie, IN. Grant Mackinnon practices in Muncie, IN. The NPI Number for Grant Mackinnon is 1720666795 and holds a License No. (Indiana).

The current practice location address for Grant Mackinnon is 2401 W University Ave, Muncie, IN and can be reached out via phone at 765-741-1095.

Location: 2401 W University Ave, Muncie, IN, 47303-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720666795
Provider Name
Grant Mackinnon
Credential
Provider Entity Type
Individual
Gender
Male
Address
2401 W University Ave, Muncie, IN, 47303-3428
Phone Number
765-741-1095
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2401 W University Ave
City
Muncie
State
Indiana
Zip
47303-3428
Phone Number
765-741-1095
Fax Number
person
Provider Business Mailing Address Details
Address
2401 W University Ave
City
Muncie
State
Indiana
Zip
47303-3428
Phone Number
765-741-1095
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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