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1891009064
WAYNE JUDE RUSSELL
CHARLOTTE, NC
NPI
1891009064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P12770)
Enumeration Date
2010-07-30
Last Update Date
2024-07-22
Business Address
WAYNE JUDE RUSSELL DPT
8705 PHILLIPS ROAD
CHARLOTTE, NC 28223-0001
Phone number: 704-687-1829
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Mailing Address
WAYNE JUDE RUSSELL DPT
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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