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1306042320
KEISHA A RUSSELL
ATLANTA, GA
NPI
1306042320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT002185)
Enumeration Date
2007-06-26
Last Update Date
2008-02-08
Business Address
Ms. KEISHA A RUSSELL OTR L
675 SEMINOLE AVE NE SUITE T05
ATLANTA, GA 30307-3408
Phone number: 404-575-4000
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Mailing Address
Ms. KEISHA A RUSSELL OTR L
2780 LANTERN LN
COLLEGE PARK, GA 30349-3860
Phone number:
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