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1780929893
RUSSELL E CARTER
CHICAGO, IL
NPI
1780929893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070001288)
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
Mr. RUSSELL E CARTER PT
1401 S CALIFORNIA AVE
CHICAGO, IL 60608-1858
Phone number: 773-522-2010
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Mailing Address
Mr. RUSSELL E CARTER PT
1401 S CALIFORNIA AVE
CHICAGO, IL 60608-1858
Phone number: 773-522-2010
Copy
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