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1538549274
THOMAS MACKOWIAK
EAST LANSING, MI
NPI
1538549274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000739)
Enumeration Date
2015-06-08
Last Update Date
2015-06-08
Business Address
-- THOMAS MACKOWIAK ATC
223 KALAMAZOO ST
EAST LANSING, MI 48824-5400
Phone number: 517-355-1627
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Mailing Address
-- THOMAS MACKOWIAK ATC
223 KALAMAZOO ST ROOM 106
EAST LANSING, MI 48824-5400
Phone number: 517-355-1627
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