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1518381268
PHYLLIS RUSSELL
SAVANNAH, GA
NPI
1518381268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT009487)
Enumeration Date
2014-02-14
Last Update Date
2014-02-14
Business Address
Mrs. PHYLLIS RUSSELL LMT
407 E MONTGOMERY XRD
SAVANNAH, GA 31406-4980
Phone number: 912-925-0881
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Mailing Address
Mrs. PHYLLIS RUSSELL LMT
407 E MONTGOMERY XRD
SAVANNAH, GA 31406-4980
Phone number: 912-925-0881
Copy
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