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1578012449
JENNIFER RUSSELL
MILAN, TN
NPI
1578012449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 4565)
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
-- JENNIFER RUSSELL PTA
8017 DOGWOOD LN
MILAN, TN 38358-6805
Phone number: 731-686-8373
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Mailing Address
-- JENNIFER RUSSELL PTA
8017 DOGWOOD LN
MILAN, TN 38358-6805
Phone number: 731-686-8373
Copy
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