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1801405113
TERRY RUSSELL
LAS VEGAS, NV
NPI
1801405113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
TERRY RUSSELL
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-835-1911
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Mailing Address
TERRY RUSSELL
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-835-1911
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