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1427216175
KENNY CHANTASI
FARGO, ND
NPI
1427216175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 259456)
Enumeration Date
2008-05-29
Last Update Date
2022-04-29
Business Address
DR. KENNY CHANTASI DO
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2000
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Mailing Address
DR. KENNY CHANTASI DO
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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