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Individual

DR. BYRON D FENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
14619 PURDY DR, GIG HARBOR, WA 98332
(253) 857-2147
(253) 851-4090
Mailing address
14619 PURDY DR, GIG HARBOR, WA 98332
(253) 857-2147
(253) 851-4090

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00000695
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11828
LI
Enumeration date
11/15/2006
Last updated
07/08/2007
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