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1508381278
JORDAN TAIT
FORT WAYNE, IN
NPI
1508381278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012567A)
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
Mr. JORDAN TAIT DPT
5800 FAIRFIELD AVE STE 150
FORT WAYNE, IN 46807-3450
Phone number: 260-744-5585
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Mailing Address
Mr. JORDAN TAIT DPT
5800 FAIRFIELD AVE STE 150
FORT WAYNE, IN 46807-3450
Phone number: 260-744-5585
Copy
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