RUSSEL LISONBEE

SHOW LOW, AZ
NPI1669823688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  10153a)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
-- RUSSEL LISONBEE
2401 E HUNT DR
SHOW LOW, AZ 85901-7920
Phone number: 928-537-5333
Mailing Address
-- RUSSEL LISONBEE
2401 E HUNT DR
SHOW LOW, AZ 85901-7920
Phone number:
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