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Individual

JOSSELYN MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1132 MALLOW TER, SAN JOSE, CA 95133-3211
(816) 695-3749
Mailing address
1132 MALLOW TER, SAN JOSE, CA 95133-3211
(816) 695-3749

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary

Other

Enumeration date
06/03/2019
Last updated
06/03/2019
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