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1578913992
KERI MACK
FORT MYERS, FL
NPI
1578913992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9109378)
Enumeration Date
2016-06-16
Last Update Date
2019-08-01
Business Address
KERI MACK PA-C
7451 GLADIOLUS DR
FORT MYERS, FL 33908
Phone number: 239-689-8800
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Mailing Address
KERI MACK PA-C
2160 COLONIAL BLVD
FORT MYERS, FL 33907-1410
Phone number: 239-931-7342
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