BRIAN RAY RUSSELL

WEST MONROE, LA
NPI1497039812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  08166)
Enumeration Date2011-10-04
Last Update Date2011-10-04
Business Address
-- BRIAN RAY RUSSELL DPT
107 SUMMER LN
WEST MONROE, LA 71291-3501
Phone number: 318-396-1969
Mailing Address
-- BRIAN RAY RUSSELL DPT
107 SUMMER LN
WEST MONROE, LA 71291-3501
Phone number: 318-396-1969
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