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1376643882
RUSSELL D GANNON
BIRMINGHAM, AL
NPI
1376643882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: AL PTH3502)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL D GANNON MSPT
616 GADSDEN HWY SUITE A
BIRMINGHAM, AL 35235-2501
Phone number: 205-833-0881
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Mailing Address
Mr. RUSSELL D GANNON MSPT
548 TWIN BRANCH DR
BIRMINGHAM, AL 35226-2342
Phone number: 205-823-4236
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