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1679031165
JORDAN LEE MITZEL
FORT DODGE, IA
NPI
1679031165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-03-04
Last Update Date
2019-03-04
Business Address
JORDAN LEE MITZEL DPT
2419 2ND AVE N
FORT DODGE, IA 50501-3602
Phone number: 515-576-2235
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Mailing Address
JORDAN LEE MITZEL DPT
PO BOX 765
CROOKS, SD 57020-0765
Phone number: 605-360-0229
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