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1376011171
PURNELL RUSSELL
FORT WASHINGTON, MD
NPI
1376011171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: VA 0019015297)
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
PURNELL RUSSELL LMT
8507 OXON HILL RD STE 200-33
FORT WASHINGTON, MD 20744-4766
Phone number: 202-246-6601
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Mailing Address
PURNELL RUSSELL LMT
2707 SHIPLEY TER SE APT 2
WASHINGTON, DC 20020-1823
Phone number: 202-246-6601
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