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1922587393
TINA MICHELE MACKE
RICHARDSON, TX
NPI
1922587393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 213743)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
TINA MICHELE MACKE
3550 N SHILOH RD
RICHARDSON, TX 75082-2464
Phone number: 972-231-4810
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Mailing Address
TINA MICHELE MACKE
1209 SEMINARY RDG
GARLAND, TX 75043-1212
Phone number: 219-242-2308
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