BRANDON LEE MACK

KIRKSVILLE, MO
NPI1134188832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2004021474)
Enumeration Date2006-03-21
Last Update Date2007-07-09
Business Address
Dr. BRANDON LEE MACK D.P.T.
JUNCTION S. HWY 63 & 6E OUTPATIENT PHYSICAL THERAPY
KIRKSVILLE, MO 63501
Phone number: 660-785-1834
Mailing Address
Dr. BRANDON LEE MACK D.P.T.
29559 KATYDID
LA PLATA, MO 63549-1136
Phone number: 660-332-4960
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