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1386092377
MACKENZIE MOORE HALUPA
ALLENTOWN, PA
NPI
1386092377
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Former Name
MACKENZIE MOORE VILLARREAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA0588296)
Enumeration Date
2016-05-31
Last Update Date
2024-07-01
Business Address
MACKENZIE MOORE HALUPA PA
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103-6271
Phone number: 610-402-9116
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Mailing Address
MACKENZIE MOORE HALUPA PA
2100 MACK BLVD FL 4
ALLENTOWN, PA 18103-5622
Phone number: 484-884-4500
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