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1255087714
FAITH RUSSELL
ELIZABETHTON, TN
NPI
1255087714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 14016)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
FAITH RUSSELL PT, DPT
1975 W ELK AVE
ELIZABETHTON, TN 37643-3787
Phone number: 423-543-0073
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Mailing Address
FAITH RUSSELL PT, DPT
1975 W ELK AVE
ELIZABETHTON, TN 37643-3787
Phone number: 423-543-0073
Copy
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