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1407613359
RUSSELL WRIGHT
JONESBORO, GA
NPI
1407613359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA005147)
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
RUSSELL WRIGHT
8098 AUTUMN FOREST DR
JONESBORO, GA 30236-3907
Phone number: 404-867-3690
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Mailing Address
RUSSELL WRIGHT
8098 AUTUMN FOREST DR
JONESBORO, GA 30236-3907
Phone number: 404-867-3690
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