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1053644930
JENNIFER RAE RUSSO
WILMINGTON, NC
NPI
1053644930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P13688)
Enumeration Date
2009-09-10
Last Update Date
2024-12-05
Business Address
JENNIFER RAE RUSSO DPT
1721 ALLENS LN STE 101
WILMINGTON, NC 28403-3662
Phone number: 910-256-4442
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Mailing Address
JENNIFER RAE RUSSO DPT
1721 ALLENS LN STE 101
WILMINGTON, NC 28403-3662
Phone number: 910-256-4442
Copy
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