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1194416859
MACKENZIE MARIE LEWIS
SHELBYVILLE, IL
NPI
1194416859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
MACKENZIE MARIE LEWIS PTA
2116 W SOUTH 3RD ST
SHELBYVILLE, IL 62565-9102
Phone number: 217-774-2128
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Mailing Address
MACKENZIE MARIE LEWIS PTA
214 E WERNSING AVE
EFFINGHAM, IL 62401-4028
Phone number:
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