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1871289314
MCKENZIE RAYE VANVACTOR
CLARKSVILLE, TN
NPI
1871289314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 7057)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
MCKENZIE RAYE VANVACTOR OTR/L
851 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5257
Phone number: 931-542-2168
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Mailing Address
MCKENZIE RAYE VANVACTOR OTR/L
480 SIVLEY RD APT 205
HOPKINSVILLE, KY 42240-7979
Phone number: 678-591-9154
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