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1063743557
RUSSELL MATTHEW GANA
AUSTIN, TX
NPI
1063743557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: TX 11283)
Enumeration Date
2010-01-22
Last Update Date
2020-06-08
Business Address
RUSSELL MATTHEW GANA D.C.
1825 FORTVIEW RD STE 104
AUSTIN, TX 78704-7600
Phone number: 512-829-1549
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Mailing Address
RUSSELL MATTHEW GANA D.C.
1825 FORTVIEW RD STE 104
AUSTIN, TX 78704-7600
Phone number: 512-829-1549
Copy
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