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1962225409
MACKENZIE DIANE TEZAK
AUSTIN, TX
NPI
1962225409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX at9687)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
Ms. MACKENZIE DIANE TEZAK ATC, LAT
12400 MELLOW MEADOW DR
AUSTIN, TX 78750-1824
Phone number: 512-994-8899
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Mailing Address
Ms. MACKENZIE DIANE TEZAK ATC, LAT
820 CAMINO VAQUERO PKWY APT 2303
AUSTIN, TX 78748-3305
Phone number:
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