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1588309926
ZACHARY EDWARD MACKLIN
WINSTON SALEM, NC
NPI
1588309926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2626)
Enumeration Date
2022-04-30
Last Update Date
2022-04-30
Business Address
ZACHARY EDWARD MACKLIN ATC
1600 BREWER RD
WINSTON SALEM, NC 27127-3857
Phone number: 336-408-6944
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Mailing Address
ZACHARY EDWARD MACKLIN ATC
4404 LAKE SHORE RESERVE CT
KERNERSVILLE, NC 27284-0141
Phone number: 336-662-3910
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