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1497038699
IRENE MACK
MEMPHIS, TN
NPI
1497038699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
(Licence: AR 253Z00000X)
Enumeration Date
2011-09-23
Last Update Date
2014-10-29
Business Address
-- IRENE MACK
1331 UNION AVE SUITE 1226
MEMPHIS, TN 38104-3513
Phone number: 901-726-5888
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Mailing Address
-- IRENE MACK
1331 UNION AVE SUITE 1226
MEMPHIS, TN 38104-3513
Phone number: 901-726-5888
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