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1689673410
HOLLY ROXANNE RUSSELL
MARION, IL
NPI
1689673410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011443)
Enumeration Date
2005-07-14
Last Update Date
2007-07-08
Business Address
Mrs. HOLLY ROXANNE RUSSELL DPT
2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959-5256
Phone number: 618-998-9894
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Mailing Address
Mrs. HOLLY ROXANNE RUSSELL DPT
720 COUNTY ROAD 1435 N
CARMI, IL 62821-4827
Phone number: 618-382-3986
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