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1164492237
KEVIN JON PUFALL
FORT CAMPBELL, KY
NPI
1164492237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 4147)
Enumeration Date
2006-01-23
Last Update Date
2019-01-22
Business Address
Mr. KEVIN JON PUFALL P.T.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-8686
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Mailing Address
Mr. KEVIN JON PUFALL P.T.
2508 FAIRWAY TER
CLOVIS, NM 88101-2734
Phone number: 505-440-0063
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