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1477595726
RUSSELL J. RICHARDSON
SPOKANE, WA
NPI
1477595726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL J. RICHARDSON ATC
300 W HAWTHORNE RD
SPOKANE, WA 99251-2515
Phone number: 509-777-3244
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Mailing Address
Mr. RUSSELL J. RICHARDSON ATC
21912 N GREENBLUFF CIR
COLBERT, WA 99005-9536
Phone number: 509-238-2525
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