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1508083155
SUSANNE MARIE RUSSELL
CHARLOTTESVILLE, VA
NPI
1508083155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305003603)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- SUSANNE MARIE RUSSELL MSPT
3450 SEMINOLE TRL STE 105
CHARLOTTESVILLE, VA 22911-2210
Phone number: 434-974-7955
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Mailing Address
-- SUSANNE MARIE RUSSELL MSPT
3107 MOLLIFIELD LN
CHARLOTTESVILLE, VA 22911-7211
Phone number: 434-973-9447
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