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1689979338
STACY RUSSELL
KILLEEN, TX
NPI
1689979338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 106392)
Enumeration Date
2011-01-11
Last Update Date
2011-01-11
Business Address
-- STACY RUSSELL SLP
1102 WINKLER AVE
KILLEEN, TX 76542-6249
Phone number: 254-634-8505
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Mailing Address
-- STACY RUSSELL SLP
1102 WINKLER AVE
KILLEEN, TX 76542-6249
Phone number: 254-634-8505
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