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1720618135
MACKENZIE CHURCH HOLM
GASTONIA, NC
NPI
1720618135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10437)
Enumeration Date
2020-01-24
Last Update Date
2024-11-03
Business Address
MACKENZIE CHURCH HOLM PA-C
1075 E HUDSON BLVD
GASTONIA, NC 28054-1694
Phone number: 866-389-2727
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Mailing Address
MACKENZIE CHURCH HOLM PA-C
PO BOX 744786
ATLANTA, GA 30374-4786
Phone number: 704-671-5343
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