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1063527349
SEAN P MACKENZIE
ROCKFORD, IL
NPI
1063527349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL 036-111320)
Enumeration Date
2006-08-20
Last Update Date
2015-03-20
Business Address
SEAN P MACKENZIE M.D.
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-398-9491
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Mailing Address
SEAN P MACKENZIE M.D.
BOX 78534
MILWAUKEE, WI 53278
Phone number: 815-398-9491
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