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1740862366
HALLE TAMSEN RUSSELL
WACO, TX
NPI
1740862366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
HALLE TAMSEN RUSSELL ATC
1 BEAR PL
WACO, TX 76798-0006
Phone number: 415-827-0802
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Mailing Address
HALLE TAMSEN RUSSELL ATC
PO BOX 1
SAN ANSELMO, CA 94979-0001
Phone number:
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