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1346842614
MACKENZIE ELIZABETH-ROSE MCCLELLAND
EAST LANSING, MI
NPI
1346842614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
MACKENZIE ELIZABETH-ROSE MCCLELLAND
771 CHESTNUT RD
EAST LANSING, MI 48824-3434
Phone number: 517-353-4412
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Mailing Address
MACKENZIE ELIZABETH-ROSE MCCLELLAND
634 E GREENLAWN AVE
LANSING, MI 48910-3307
Phone number: 517-643-4997
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