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1841960184
CHARLES KETTENRING
ALBUQUERQUE, NM
NPI
1841960184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-09-17
Last Update Date
2021-10-27
Business Address
CHARLES KETTENRING DPT
5130 SAN FRANCISCO RD NE STE B
ALBUQUERQUE, NM 87109-4618
Phone number: 505-823-2411
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Mailing Address
CHARLES KETTENRING DPT
6564 LOS PUEBLOS PL NW
ALBUQUERQUE, NM 87114-4451
Phone number: 801-671-4600
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