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1043409915
JEANINE RENEE RUSSMAN
MATTHEWS, NC
NPI
1043409915
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Former Name
JEANINE RENEE MCBRIDE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 10048)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
-- JEANINE RENEE RUSSMAN DPT
1450 MATTHEWS TOWNSHIP PKWY SUITE 120
MATTHEWS, NC 28105-2387
Phone number: 704-323-3208
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Mailing Address
-- JEANINE RENEE RUSSMAN DPT
4601 PARK RD SUITE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2256
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