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1700161064
TRAVIS FREDERICK MACKENZIE
REDDING, CA
NPI
1700161064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301099435)
Enumeration Date
2011-10-19
Last Update Date
2015-03-13
Business Address
Dr. TRAVIS FREDERICK MACKENZIE M.D.
3335 PLACER ST PMB #212
REDDING, CA 96001-2364
Phone number: 917-822-9011
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Mailing Address
Dr. TRAVIS FREDERICK MACKENZIE M.D.
3335 PLACER STREET PMB #212
REDDING, CA 96001
Phone number: 917-822-9011
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