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1518399468
KYLE E FENTON
LOGANVILLE, GA
NPI
1518399468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011092)
Enumeration Date
2013-08-02
Last Update Date
2021-10-07
Business Address
KYLE E FENTON PT, DPT
4743 ATLANTA HWY STE 100
LOGANVILLE, GA 30052-2686
Phone number: 770-466-9343
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Mailing Address
KYLE E FENTON PT, DPT
2400 WISTERIA DR SUITE A
SNELLVILLE, GA 30078-2689
Phone number: 770-982-0102
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