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1740373240
RUSSELL H. PORTER
MOBILE, AL
NPI
1740373240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH924)
Enumeration Date
2006-10-02
Last Update Date
2009-06-25
Business Address
-- RUSSELL H. PORTER P.T.
2496 MUIR WOODS DR WEST
MOBILE, AL 36693
Phone number: 251-232-0009
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Mailing Address
-- RUSSELL H. PORTER P.T.
2496 MUIR WOODS DR WEST
MOBILE, AL 36693
Phone number: 251-232-0009
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