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1790101996
RUSSELL WHITTEN
BARTLETT, TN
NPI
1790101996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 9622)
Enumeration Date
2014-03-12
Last Update Date
2014-03-12
Business Address
Dr. RUSSELL WHITTEN DPT
8070 HIGHWAY 64 SUITE 104
BARTLETT, TN 38133
Phone number: 901-266-3838
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Mailing Address
Dr. RUSSELL WHITTEN DPT
8070 HIGHWAY 64 SUITE 104
BARTLETT, TN 38133
Phone number: 901-266-3838
Copy
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