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1811373293
ADAM RUSSELL
DERBY, KS
NPI
1811373293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-05077)
Enumeration Date
2015-08-07
Last Update Date
2023-01-25
Business Address
MR. ADAM RUSSELL
234 W GREENWAY ST
DERBY, KS 67037-2641
Phone number: 316-788-6734
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Mailing Address
MR. ADAM RUSSELL
234 W GREENWAY ST
DERBY, KS 67037-2641
Phone number: 316-788-6734
Copy
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