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1417141722
SHANNON L RUSSELL
MONTGOMERY, AL
NPI
1417141722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 005110)
Enumeration Date
2007-08-29
Last Update Date
2007-08-30
Business Address
Mrs. SHANNON L RUSSELL OT
4154 LOMAC ST
MONTGOMERY, AL 36106-2815
Phone number: 334-262-5744
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Mailing Address
Mrs. SHANNON L RUSSELL OT
4154 LOMAC ST
MONTGOMERY, AL 36106-2815
Phone number: 334-262-5744
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