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1659398345
LISA RENEE MCKENTLY
SMYRNA, GA
NPI
1659398345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA CHIR007854)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
-- LISA RENEE MCKENTLY DC
4425 S COBB DR SE SUITE G
SMYRNA, GA 30080-6368
Phone number: 770-444-9191
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Mailing Address
-- LISA RENEE MCKENTLY DC
3303 HIDDEN TRAIL RD SE
SMYRNA, GA 30082-2442
Phone number: 404-520-0526
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