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1710447198
JACOB RANDALL EWIGMAN
KANSAS CITY, KS
NPI
1710447198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-05960)
Enumeration Date
2019-03-22
Last Update Date
2022-12-14
Business Address
JACOB RANDALL EWIGMAN PT, DPT
7925 STATE AVE
KANSAS CITY, KS 66112-2465
Phone number: 913-334-9930
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Mailing Address
JACOB RANDALL EWIGMAN PT, DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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