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1689458960
MACKENZIE LYNN BOSACK
ROANOKE, VA
NPI
1689458960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-08-21
Last Update Date
2023-08-22
Business Address
MACKENZIE LYNN BOSACK PA
101 ELM AVE SE
ROANOKE, VA 24013-2222
Phone number: 540-985-8483
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Mailing Address
MACKENZIE LYNN BOSACK PA
619 S GARFIELD ST
ARLINGTON, VA 22204-2438
Phone number: 570-617-3626
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