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1891983029
RUSSELL WORTH MANKTELOW
GILBERT, AZ
NPI
1891983029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 7839)
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
Dr. RUSSELL WORTH MANKTELOW D.C.
1111 N GILBERT RD 115
GILBERT, AZ 85234-2313
Phone number: 480-892-5631
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Mailing Address
Dr. RUSSELL WORTH MANKTELOW D.C.
1111 N GILBERT RD 115
GILBERT, AZ 85234-2313
Phone number: 480-892-5631
Copy
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