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1891744199
RUSSELL WAYNE GUNTER
SCOTT, LA
NPI
1891744199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 04809)
Enumeration Date
2006-05-06
Last Update Date
2012-09-05
Business Address
Prof. RUSSELL WAYNE GUNTER PT
101 PARK WEST DR SUITE B
SCOTT, LA 70583-8902
Phone number: 337-769-1556
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Mailing Address
Prof. RUSSELL WAYNE GUNTER PT
PO BOX 61651
LAFAYETTE, LA 70596-1651
Phone number: 337-412-6146
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