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Individual
MACKENZIE HAAS
Active
Individual
MACKENZIE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28464
TN
363LF0000X
Family Nurse Practitioner
Primary
28464
TN
390200000X
Student in an Organized Health Care Education/Training Program
240567
TN
Other
Enumeration date
06/28/2020
Last updated
01/30/2025
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