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1366212177
TYSON KENTON BANNER
ST GEORGE, UT
NPI
1366212177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 13744522-2401)
Enumeration Date
2024-01-03
Last Update Date
2024-01-03
Business Address
Dr. TYSON KENTON BANNER DPT
1490 E FOREMASTER DR STE 110
ST GEORGE, UT 84790-4492
Phone number: 435-288-2242
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Mailing Address
Dr. TYSON KENTON BANNER DPT
410 SUGAR LEO RD
SAINT GEORGE, UT 84790-7947
Phone number: 801-603-6751
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