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Individual

JALEESA IMEARA MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
900 ELICKER RD, PITTSBURGH, PA 15239-1098
(412) 795-4880
Mailing address
360 DEAUVILLE DR APT 10, MONROEVILLE, PA 15146-2913
(707) 330-0768

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/23/2021
Last updated
01/13/2023
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