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1093918989
WELDON K RUSSO
FORT WORTH, TX
NPI
1093918989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 109622)
Enumeration Date
2007-06-07
Last Update Date
2009-09-17
Business Address
Mr. WELDON K RUSSO OTR
7277 HAWKINS VIEW DRIVE
FORT WORTH, TX 76132-3921
Phone number: 817-423-5611
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Mailing Address
Mr. WELDON K RUSSO OTR
7277 HAWKINS VIEW DR
FORT WORTH, TX 76132-3921
Phone number: 817-423-5611
Copy
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