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1396284550
LYNSEY FENTON
MILWAUKIE, OR
NPI
1396284550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 082503)
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
LYNSEY FENTON PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5171
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Mailing Address
LYNSEY FENTON PTA
629 S JOHNSON ST APT 4
IOWA CITY, IA 52240-4869
Phone number: 515-473-8359
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