DALTON LEE RUSSELL

MONROE, LA
NPI1891558789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  11681)
Enumeration Date2024-02-02
Last Update Date2024-02-02
Business Address
DALTON LEE RUSSELL
8649 HIGHWAY 165 N STE 5
MONROE, LA 71203-8965
Phone number: 318-235-9326
Mailing Address
DALTON LEE RUSSELL
324 PULLTIGHT RD
OAK GROVE, LA 71263-9187
Phone number:
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