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1043538812
AMBER RUSSELL
PADUCAH, KY
NPI
1043538812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A4362)
Enumeration Date
2010-05-04
Last Update Date
2010-05-04
Business Address
-- AMBER RUSSELL
5050 VILLAGE SQUARE DR STE B
PADUCAH, KY 42001-9499
Phone number: 270-443-0681
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Mailing Address
-- AMBER RUSSELL
5050 VILLAGE SQUARE DR STE B
PADUCAH, KY 42001-9499
Phone number:
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