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1871339952
JEFFERY MACKIN
DAVIE, FL
NPI
1871339952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA28770)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
JEFFERY MACKIN PTA
3404 DAVIE RD APT 301
DAVIE, FL 33314-1628
Phone number: 954-496-0542
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Mailing Address
JEFFERY MACKIN PTA
3404 DAVIE RD APT 301
DAVIE, FL 33314-1628
Phone number: 954-496-0542
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