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1154379865
KENTON GUY FOUNDAS
PRESCOTT, AZ
NPI
1154379865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT 93)
Enumeration Date
2006-05-05
Last Update Date
2007-07-08
Business Address
Mr. KENTON GUY FOUNDAS P.T.
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-717-7493
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Mailing Address
Mr. KENTON GUY FOUNDAS P.T.
3380 N NAVAJO DR
PRESCOTT VALLEY, AZ 86314-8247
Phone number: 928-772-9368
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