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1114041571
RUSSELL THOMAS FOX
TAMPA, FL
NPI
1114041571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA46210)
Enumeration Date
2007-03-19
Last Update Date
2012-01-19
Business Address
-- RUSSELL THOMAS FOX MA46210
501 E JACKSON ST #309
TAMPA, FL 33602-4929
Phone number: 813-416-7566
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Mailing Address
-- RUSSELL THOMAS FOX MA46210
PO BOX 272515
TAMPA, FL 33688-2515
Phone number: 813-416-7566
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