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1639843154
JORDAN MATTHEW PRUITT
FORT RILEY, KS
NPI
1639843154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-08-07
Last Update Date
2021-08-09
Business Address
JORDAN MATTHEW PRUITT DPT
7672 ESTES RD
FORT RILEY, KS 66442-5778
Phone number: 409-474-1409
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Mailing Address
JORDAN MATTHEW PRUITT DPT
25125 LOOKOUT DR
FORT RILEY, KS 66442-4619
Phone number: 409-474-1409
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