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1295703098
JIM RUSS
NOTRE DAME, IN
NPI
1295703098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000278A)
Enumeration Date
2006-03-09
Last Update Date
2007-07-08
Business Address
Mr. JIM RUSS
113 JOYCE CTR
NOTRE DAME, IN 46556-5678
Phone number: 574-631-3304
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Mailing Address
Mr. JIM RUSS
113 JOYCE CTR
NOTRE DAME, IN 46556-5678
Phone number: 574-631-3304
Copy
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