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1164561569
JEFF GORDON FENTON
SPOKANE, WA
NPI
1164561569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA 5460)
Enumeration Date
2007-02-05
Last Update Date
2012-11-28
Business Address
Mr. JEFF GORDON FENTON PT
2507 E 27TH AVE
SPOKANE, WA 99223-4908
Phone number: 509-456-6917
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Mailing Address
Mr. JEFF GORDON FENTON PT
2507 E 27TH AVE
SPOKANE, WA 99223-4908
Phone number: 509-456-6917
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