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1043820079
CARLIE RUSSELL
NEW YORK, NY
NPI
1043820079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 2113)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
CARLIE RUSSELL
575 8TH AVE FL 6
NEW YORK, NY 10018-3158
Phone number: 631-793-8970
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Mailing Address
CARLIE RUSSELL
43 BAYBERRY LN
MOUNT KISCO, NY 10549-4800
Phone number: 914-960-3074
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