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1215147756
RUSSELL EDWARD HUCKERT
BETHEL, AK
NPI
1215147756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 1569)
Enumeration Date
2007-05-23
Last Update Date
2007-07-09
Business Address
-- RUSSELL EDWARD HUCKERT P.T.
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Phone number: 907-543-6359
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Mailing Address
-- RUSSELL EDWARD HUCKERT P.T.
PO BOX 3106
BETHEL, AK 99559-3106
Phone number: 907-543-4309
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ENC PHYSICAL THERAPY LLC