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1316196553
JACOB MCKENZIE
RUSTON, LA
NPI
1316196553
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Other Name
JAKE MCKENZIE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07381)
Enumeration Date
2008-09-11
Last Update Date
2020-03-09
Business Address
Dr. JACOB MCKENZIE DPT
2101 KNOWLES DR
RUSTON, LA 71270-2618
Phone number: 504-834-9259
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Mailing Address
Dr. JACOB MCKENZIE DPT
2101 KNOWLES DR
RUSTON, LA 71270-2618
Phone number: 318-548-5034
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