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1780428144
NATHAN RUSSELL
YUMA, AZ
NPI
1780428144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-32309)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
NATHAN RUSSELL
901 W 24TH ST
YUMA, AZ 85364-6384
Phone number: 814-599-2849
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Mailing Address
NATHAN RUSSELL
2651 S 8TH AVE APT 3025
YUMA, AZ 85364-4052
Phone number: 814-599-2849
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