BLAKE PHILLIPS RUSSELL

PACIFIC GROVE, CA
NPI1316472616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  29705)
Enumeration Date2017-04-24
Last Update Date2017-04-24
Business Address
Mrs. BLAKE PHILLIPS RUSSELL MPT
220 COUNTRY CLUB GATE CTR SUITE 11
PACIFIC GROVE, CA 93950-5014
Phone number: 831-917-9886
Mailing Address
Mrs. BLAKE PHILLIPS RUSSELL MPT
309 GRANITE ST
PACIFIC GROVE, CA 93950-3219
Phone number: 831-917-9886
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