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Individual

JENNAH RENAE BULEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6180
Mailing address
170 HUNT RD, FORT LEAVENWORTH, KS 66027-1406
(660) 888-1306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016039467
MO

Other

Enumeration date
11/04/2016
Last updated
01/30/2023
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