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1104097336
LEE ANN MCKINZIE
MOUNT VERNON, IL
NPI
1104097336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160004606)
Enumeration Date
2008-03-15
Last Update Date
2008-03-15
Business Address
Mrs. LEE ANN MCKINZIE PTA
208 ZACHERY DR
MOUNT VERNON, IL 62864-6712
Phone number: 618-244-5580
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Mailing Address
Mrs. LEE ANN MCKINZIE PTA
7357 E CASABLANCA RD
MOUNT VERNON, IL 62864-7342
Phone number: 618-735-2828
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