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1255842738
BROOKE ALLYN RUSSELL
SANFORD, NC
NPI
1255842738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 6286)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
BROOKE ALLYN RUSSELL PTA
1408 GREENWAY CT
SANFORD, NC 27330-6953
Phone number: 919-708-7220
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Mailing Address
BROOKE ALLYN RUSSELL PTA
1408 GREENWAY CT
SANFORD, NC 27330-6953
Phone number: 919-708-7220
Copy
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