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1396482576
JACOB BURTON
COLUMBIA, MO
NPI
1396482576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2022013714)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
Mr. JACOB BURTON DPT
2003 W BROADWAY STE 105
COLUMBIA, MO 65203-1136
Phone number: 573-474-5111
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Mailing Address
Mr. JACOB BURTON DPT
3601 W BROADWAY APT 11101
COLUMBIA, MO 65203-7912
Phone number: 913-208-2240
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