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1124635727
SHANNON RUSSELL
SEATTLE, WA
NPI
1124635727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61057006)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
SHANNON RUSSELL DPT
4649 SUNNYSIDE AVE N STE 302
SEATTLE, WA 98103-6955
Phone number: 206-588-0855
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Mailing Address
SHANNON RUSSELL DPT
4649 SUNNYSIDE AVE N STE 302
SEATTLE, WA 98103-6955
Phone number: 206-588-0855
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