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1376217141
MACKINLEY SPENCER BURRELL
ANTHEM, AZ
NPI
1376217141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: CA CP004467)
Enumeration Date
2021-08-05
Last Update Date
2023-09-26
Business Address
MACKINLEY SPENCER BURRELL CP
42212 N 41ST DR STE 105
ANTHEM, AZ 85086-3815
Phone number: 623-352-4520
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Mailing Address
MACKINLEY SPENCER BURRELL CP
42212 N 41ST DR STE 105
ANTHEM, AZ 85086-3815
Phone number: 623-352-4520
Copy
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