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1891271508
KENETH PROPHETE
PHOENIX, AZ
NPI
1891271508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00269100)
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
KENETH PROPHETE
7540 N 19TH AVE
PHOENIX, AZ 85021
Phone number: 888-543-2289
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Mailing Address
KENETH PROPHETE
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number:
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