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1154534048
RUSSELL JEFFREY BRIDGES
CHATTANOOGA, TN
NPI
1154534048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: TN 1862)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL JEFFREY BRIDGES D.P.O
7002 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Phone number: 423-499-0810
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Mailing Address
Mr. RUSSELL JEFFREY BRIDGES D.P.O
155 APACHE TRAIL
RINGGOLD, GA 30736-6826
Phone number: 706-937-3915
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