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1346806668
DYLAN KETNER
KINGSPORT, TN
NPI
1346806668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
DYLAN KETNER PTA
1 SHERIDAN SQ STE 100
KINGSPORT, TN 37660-7392
Phone number: 423-230-0194
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Mailing Address
DYLAN KETNER PTA
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-4915
Phone number:
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