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1376799643
RUSSELL PARKER
GREEN BAY, WI
NPI
1376799643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 5513-24)
Enumeration Date
2008-08-18
Last Update Date
2008-08-18
Business Address
Mr. RUSSELL PARKER PT
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-5231
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Mailing Address
Mr. RUSSELL PARKER PT
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-5231
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