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1205505922
MACKENSI SHAW
GENEVA, NY
NPI
1205505922
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Former Name
MACKENSI RIKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 047576)
Enumeration Date
2021-09-07
Last Update Date
2023-12-07
Business Address
MACKENSI SHAW DPT
283 W NORTH ST
GENEVA, NY 14456-1530
Phone number: 315-789-0841
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Mailing Address
MACKENSI SHAW DPT
283 W NORTH ST
GENEVA, NY 14456-1530
Phone number: 315-789-0841
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