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1326291774
JAYE RUSSELL
AUSTIN, TX
NPI
1326291774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1063386)
Enumeration Date
2008-10-29
Last Update Date
2008-10-29
Business Address
-- JAYE RUSSELL PT
911 W ANDERSON LN STE 117
AUSTIN, TX 78757-1562
Phone number: 512-467-1100
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Mailing Address
-- JAYE RUSSELL PT
117 LAURA LN
AUSTIN, TX 78746-4665
Phone number: 512-576-0360
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