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1356895700
MACKENZIE HANSEN
WINSTON SALEM, NC
NPI
1356895700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P14001)
Enumeration Date
2016-08-14
Last Update Date
2016-08-14
Business Address
MACKENZIE HANSEN
2342 LYNDHURST AVE
WINSTON SALEM, NC 27103-3603
Phone number: 336-971-8973
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Mailing Address
MACKENZIE HANSEN
2342 LYNDHURST AVE
WINSTON SALEM, NC 27103-3603
Phone number: 336-971-8973
Copy
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