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1497127997
JORDAN FULTZ
LUBBOCK, TX
NPI
1497127997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 319937)
Enumeration Date
2015-10-22
Last Update Date
2019-11-08
Business Address
JORDAN FULTZ PT
4138 19TH ST
LUBBOCK, TX 79407-2403
Phone number: 806-780-2329
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Mailing Address
JORDAN FULTZ PT
2431 S LOOP 289
LUBBOCK, TX 79423-1519
Phone number: 806-771-8008
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