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1154997211
TAMERON ELIZABETH RUSS
HONOLULU, HI
NPI
1154997211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-05-31
Last Update Date
2021-05-31
Business Address
TAMERON ELIZABETH RUSS ATC
1337 LOWER CAMPUS RD
HONOLULU, HI 96822-2352
Phone number: 808-956-7144
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Mailing Address
TAMERON ELIZABETH RUSS ATC
96 GILLIAM RD
BANNER ELK, NC 28604-7507
Phone number: 828-260-0049
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