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1568626950
VICKIE RUSSELL
MCCOMB, MS
NPI
1568626950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4176)
Enumeration Date
2008-07-15
Last Update Date
2008-07-15
Business Address
VICKIE RUSSELL
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
VICKIE RUSSELL
1191 CASTON RD
MCCOMB, MS 39648-8760
Phone number:
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