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1588688568
ERIN MICHELLE RUSSELL
FOREST GROVE, OR
NPI
1588688568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR AT-AT-299979)
Enumeration Date
2006-07-26
Last Update Date
2007-09-10
Business Address
MISS ERIN MICHELLE RUSSELL ATC
2333 PACIFIC AVE
FOREST GROVE, OR 97116-2449
Phone number: 503-359-6145
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Mailing Address
MISS ERIN MICHELLE RUSSELL ATC
6021 NE BIRCH ST
HILLSBORO, OR 97124-7262
Phone number: 503-880-2115
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