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1801401781
RUSSELL THOMAS GREEN
MAGNOLIA, TX
NPI
1801401781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1314993)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
Dr. RUSSELL THOMAS GREEN PT, DPT
18252 FM 1488 RD STE 130
MAGNOLIA, TX 77354-4527
Phone number: 281-356-8645
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Mailing Address
Dr. RUSSELL THOMAS GREEN PT, DPT
18252 FM 1488 RD STE 130
MAGNOLIA, TX 77354-4527
Phone number: 281-356-8645
Copy
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