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1578607636
TINA RUSSELL
CHARLESTON, SC
NPI
1578607636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 2223)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- TINA RUSSELL
1313 ASHLEY RIVER ROAD
CHARLESTON, SC 29407-5315
Phone number: 843-766-3888
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Mailing Address
-- TINA RUSSELL
1313 ASHLEY RIVER ROAD
CHARLESTON, SC 29407-5315
Phone number: 843-766-3888
Copy
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