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1720586209
BREE ANNE MACKENZIE
REXBURG, ID
NPI
1720586209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-5317)
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
Mrs. BREE ANNE MACKENZIE PTA
382 PARTRIDGE LN
REXBURG, ID 83440-3593
Phone number: 208-351-1599
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Mailing Address
Mrs. BREE ANNE MACKENZIE PTA
382 PARTRIDGE LN
REXBURG, ID 83440-3593
Phone number: 208-351-1599
Copy
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