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1861154718
JAQUISHA MACKLIN
MEMPHIS, TN
NPI
1861154718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
1744P3200X Specialist, Prosthetics Case Management
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
JAQUISHA MACKLIN
2780 LAMAR AVE STE 101
MEMPHIS, TN 38114-5017
Phone number: 901-672-0716
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Mailing Address
JAQUISHA MACKLIN
4597 WATER MILL DR APT 103
MEMPHIS, TN 38116-7492
Phone number: 901-538-0036
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