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1376318196
FAITH ANASTASIA RUSSELL
TUCSON, AZ
NPI
1376318196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 12120)
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
FAITH ANASTASIA RUSSELL DPT
3000 W VALENCIA RD STE 234
TUCSON, AZ 85746-8059
Phone number: 520-303-9006
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Mailing Address
FAITH ANASTASIA RUSSELL DPT
107 CHANTEMAR
SIMPSONVILLE, SC 29681-5101
Phone number: 864-477-9058
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