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1194454058
MACKENZIE WALL
FAYETTEVILLE, NC
NPI
1194454058
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Former Name
MACKENZIE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P21317)
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
MACKENZIE WALL DPT
501 EXECUTIVE PL
FAYETTEVILLE, NC 28305-5390
Phone number: 910-423-5550
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Mailing Address
MACKENZIE WALL DPT
501 EXECUTIVE PL
FAYETTEVILLE, NC 28305-5390
Phone number: 910-423-5550
Copy
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