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1659686954
RUSSELL ALAN SIMMERMAN
WILMINGTON, NC
NPI
1659686954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 11689)
Enumeration Date
2010-08-11
Last Update Date
2010-08-11
Business Address
-- RUSSELL ALAN SIMMERMAN DPT
1776 S 17TH ST
WILMINGTON, NC 28401-6442
Phone number: 910-763-8286
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Mailing Address
-- RUSSELL ALAN SIMMERMAN DPT
1776 S 17TH ST
WILMINGTON, NC 28401-6442
Phone number: 910-763-8286
Copy
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