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1114191665
DONNA L RUSSELL
MILWAUKIE, OR
NPI
1114191665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT3165)
Enumeration Date
2008-04-16
Last Update Date
2008-04-16
Business Address
MS. DONNA L RUSSELL PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
MS. DONNA L RUSSELL PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
Copy
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