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1912428731
NEIL PATRICK MACKENZIE
SALT LAKE CITY, UT
NPI
1912428731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NH 4739)
Enumeration Date
2017-07-01
Last Update Date
2020-12-04
Business Address
NEIL PATRICK MACKENZIE
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-7005
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Mailing Address
NEIL PATRICK MACKENZIE
112 ETNA RD
LEBANON, NH 03766-1559
Phone number: 603-643-7788
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