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1144359043
IKE MANNING KENT
THOMASVILLE, GA
NPI
1144359043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT004826)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- IKE MANNING KENT P.T.
212 WEST HANSELL STREET
THOMASVILLE, GA 31792
Phone number: 229-228-8050
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Mailing Address
-- IKE MANNING KENT P.T.
920 CAIRO RD
THOMASVILLE, GA 31792-4255
Phone number: 229-228-8800
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