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1750426052
AUDREY J MCKENZIE
PORTLAND, ME
NPI
1750426052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT109)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Miss AUDREY J MCKENZIE ATC
284 CUMBERLAND AVE PORTLAND HIGH SCHOOL
PORTLAND, ME 04101-4927
Phone number: 207-874-8250
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Mailing Address
Miss AUDREY J MCKENZIE ATC
246 E BRIDGE ST #19
WESTBROOK, ME 04092-4800
Phone number: 207-854-9244
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