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1437897667
RUSSELL SHANE GREGORY
SAINT CLAIR SHORES, MI
NPI
1437897667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501301924)
Enumeration Date
2022-05-26
Last Update Date
2022-06-06
Business Address
RUSSELL SHANE GREGORY DPT
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080-3207
Phone number: 586-779-7970
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Mailing Address
RUSSELL SHANE GREGORY DPT
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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