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1598887853
NANCY DEACON RUSSELL
PASADENA, CA
NPI
1598887853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 802)
Enumeration Date
2007-04-05
Last Update Date
2011-04-26
Business Address
MRS. NANCY DEACON RUSSELL P.T.
1030 S ARROYO PKWY SUITE #109
PASADENA, CA 91105-3214
Phone number: 626-593-2283
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Mailing Address
MRS. NANCY DEACON RUSSELL P.T.
1621 GLYNDON AVE
VENICE, CA 90291-2923
Phone number: 310-993-5298
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