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1164825766
SHAY MICHAEL FONTENOT
FRANKLIN, TN
NPI
1164825766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A8881)
Enumeration Date
2014-09-27
Last Update Date
2014-09-27
Business Address
Mr. SHAY MICHAEL FONTENOT PTA
1035 FULTON GREER RD
FRANKLIN, TN 37064-2080
Phone number: 615-592-0510
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Mailing Address
Mr. SHAY MICHAEL FONTENOT PTA
412 BRITISH WOODS DR
NASHVILLE, TN 37217-3356
Phone number: 337-329-0657
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