ELISE VANETT MACKENZIE

MAPLEWOOD, MN
NPI1124106091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  1996)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- ELISE VANETT MACKENZIE P.T.
1570 BEAM AVE
MAPLEWOOD, MN 55109-1166
Phone number: 651-326-7940
Mailing Address
-- ELISE VANETT MACKENZIE P.T.
6721 MADISON ST NE
FRIDLEY, MN 55432-4450
Phone number: 651-864-0712
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