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Individual
MRS. NANCY LYNN MACK
Active
Individual
MRS. NANCY LYNN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00009988
WA
225100000X
Physical Therapist
21016
CA
225100000X
Physical Therapist
Primary
PT00009988
WA
Other
Enumeration date
07/11/2006
Last updated
06/21/2017
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