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1518648104
MACKENZIE EISEMAN
LEXINGTON, KY
NPI
1518648104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY TC392)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
MACKENZIE EISEMAN PA-C
110 CONN TER
LEXINGTON, KY 40508-3206
Phone number: 615-429-8246
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Mailing Address
MACKENZIE EISEMAN PA-C
1119 WOODRIDGE PL
MT JULIET, TN 37122-4502
Phone number: 615-429-8246
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