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1811533094
LAURIE MCKENZIE WHITE
PHOENIX, AZ
NPI
1811533094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 000136)
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
LAURIE MCKENZIE WHITE ATC
4710 N 5TH ST
PHOENIX, AZ 85012-1738
Phone number: 602-240-3119
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Mailing Address
LAURIE MCKENZIE WHITE ATC
4710 N 5TH ST
PHOENIX, AZ 85012-1738
Phone number: 602-240-3119
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