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1003012980
MICHAEL D RUSSELL
HENDERSON, NV
NPI
1003012980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 2143)
Enumeration Date
2007-06-26
Last Update Date
2025-01-21
Business Address
Mr. MICHAEL D RUSSELL PT,DPT, CSCS
3005 W HORIZON RIDGE PKWY STE 101
HENDERSON, NV 89052-5030
Phone number: 702-840-2500
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Mailing Address
Mr. MICHAEL D RUSSELL PT,DPT, CSCS
3005 W HORIZON RIDGE PKWY STE 101
HENDERSON, NV 89052-5030
Phone number: 702-840-2500
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