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1821771130
JACOB MATLOCK
JOPLIN, MO
NPI
1821771130
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Other Name
JAKE MATLOCK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2023032882)
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
JACOB MATLOCK PT, DPT
1227 E 32ND ST STE 7
JOPLIN, MO 64804-2904
Phone number: 417-624-7400
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Mailing Address
JACOB MATLOCK PT, DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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