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1669765095
JEREMY JAMES MACKE
DURHAM, NC
NPI
1669765095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NC 2015-02046)
Enumeration Date
2011-05-18
Last Update Date
2017-01-25
Business Address
-- JEREMY JAMES MACKE MD
2423 SCOTS PINE XING
DURHAM, NC 27713-6221
Phone number: 321-558-4576
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Mailing Address
-- JEREMY JAMES MACKE MD
3707 NEW VISION DR
FORT WAYNE, IN 46845-1702
Phone number: 260-471-9466
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