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1780667261
RUSSELL J. CASE
EDMOND, OK
NPI
1780667261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4289)
Enumeration Date
2005-11-29
Last Update Date
2011-12-07
Business Address
Mr. RUSSELL J. CASE PT
2113 VANISHING TRL
EDMOND, OK 73013-2756
Phone number: 405-285-8477
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Mailing Address
Mr. RUSSELL J. CASE PT
1410 FRETZ DR
EDMOND, OK 73003-5782
Phone number: 405-285-8477
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