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1669784419
MARK BRENNAN RUSSO
LEWISVILLE, TX
NPI
1669784419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: TX 1178901)
Enumeration Date
2010-07-09
Last Update Date
2015-04-09
Business Address
Dr. MARK BRENNAN RUSSO PT, DPT
751 HEBRON PKWY STE 160
LEWISVILLE, TX 75057-5120
Phone number: 972-315-1234
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Mailing Address
Dr. MARK BRENNAN RUSSO PT, DPT
PO BOX 250264
PLANO, TX 75025-0264
Phone number: 972-315-1234
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