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1679953608
MICHELLE RUSSELL
CLARKSVILLE, TN
NPI
1679953608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000005687)
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
-- MICHELLE RUSSELL
900 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5244
Phone number: 931-552-3002
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Mailing Address
-- MICHELLE RUSSELL
900 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5244
Phone number: 931-552-3002
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