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1114083300
ELLERY T. RUSSIAN
SEATTLE, WA
NPI
1114083300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00009931)
Enumeration Date
2006-12-29
Last Update Date
2007-09-05
Business Address
DR. ELLERY T. RUSSIAN DPT
1959 NE PACIFIC ST BOX 356490
SEATTLE, WA 98195-0001
Phone number: 206-598-4830
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Mailing Address
DR. ELLERY T. RUSSIAN DPT
PO BOX 24366
SEATTLE, WA 98124-0366
Phone number: 206-598-0502
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