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1447536933
MARISA TAYLOR MACKENZIE
REDDING, CA
NPI
1447536933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601006086)
Enumeration Date
2011-10-27
Last Update Date
2015-09-09
Business Address
-- MARISA TAYLOR MACKENZIE PA
1255 LIBERTY ST
REDDING, CA 96001-0814
Phone number: 530-246-2467
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Mailing Address
-- MARISA TAYLOR MACKENZIE PA
PO BOX 991950
REDDING, CA 96099-1950
Phone number: 530-246-2467
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