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1760676621
DARRELL LANCE RUSS
FRISCO, TX
NPI
1760676621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1170490)
Enumeration Date
2007-09-04
Last Update Date
2014-01-14
Business Address
-- DARRELL LANCE RUSS MPT
4461 COIT RD SUITE 405
FRISCO, TX 75035-0521
Phone number: 972-377-9200
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Mailing Address
-- DARRELL LANCE RUSS MPT
4461 COIT RD SUITE 405
FRISCO, TX 75035-0521
Phone number: 972-377-9200
Copy
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