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1770240475
KIONTE RUSSELL
HOUSTON, TX
NPI
1770240475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1355001)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
KIONTE RUSSELL DPT
2000 HOLLY HALL ST
HOUSTON, TX 77054-4032
Phone number: 713-799-9031
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Mailing Address
KIONTE RUSSELL DPT
13130 CLIFTON HILL LN
HOUSTON, TX 77044-2907
Phone number:
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