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1396056255
TAMARA RACHELLE RUSSELL
DALLAS, TX
NPI
1396056255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 110286)
Enumeration Date
2010-06-25
Last Update Date
2010-06-25
Business Address
Ms. TAMARA RACHELLE RUSSELL OTR
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 800-849-3597
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Mailing Address
Ms. TAMARA RACHELLE RUSSELL OTR
4458 SEVEN PINES DR
GRAND PRAIRIE, TX 75052-1676
Phone number: 972-641-4429
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