Individual
DEBRA MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3380
(928) 669-3379
Mailing address
PO BOX 2338, BIG RIVER, CA 92242-2338
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
1368
OR
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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