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1780261933
RUSSELL TREY DAVIS
TUSCALOOSA, AL
NPI
1780261933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: AL 80082)
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
RUSSELL TREY DAVIS CTRS
3701 LOOP RD
TUSCALOOSA, AL 35404-5015
Phone number: 205-554-2000
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Mailing Address
RUSSELL TREY DAVIS CTRS
3701 LOOP RD
TUSCALOOSA, AL 35404-5015
Phone number: 205-554-2000
Copy
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