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1124795372
TERRANCE S MACKIE
YOUNGSTOWN, OH
NPI
1124795372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2021-08-25
Last Update Date
2021-10-04
Business Address
TERRANCE S MACKIE
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509-2925
Phone number: 330-318-3436
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Mailing Address
TERRANCE S MACKIE
238 S MERIDIAN RD
YOUNGSTOWN, OH 44509-2925
Phone number: 330-318-3436
Copy
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