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Individual
SARA LOUISE CAMPBELL MACKENZIE
Active
Individual
SARA LOUISE CAMPBELL MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00032007
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151
INTERNAL ID-MOTOR VEHICLE ID
—
01
—
0197500
L&I
WA
05
—
1124103932
—
WA
Enumeration date
10/27/2006
Last updated
12/28/2012
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