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1083672588
JAN RENEE RUSSELL
CARLISLE, PA
NPI
1083672588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE000975L)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
Ms. JAN RENEE RUSSELL PTA
419 VILLAGE DR STE 3
CARLISLE, PA 17013
Phone number: 717-240-0330
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Mailing Address
Ms. JAN RENEE RUSSELL PTA
433 ARCH STREET
CARLISLE, PA 17013
Phone number: 717-243-2474
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