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1902144942
RUSSELL ALLEN MORRIS
MAYFIELD, KY
NPI
1902144942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: TN PT0000006642)
Enumeration Date
2013-01-25
Last Update Date
2013-01-25
Business Address
-- RUSSELL ALLEN MORRIS P.T.
245 SPUD HILL RD
MAYFIELD, KY 42066-8001
Phone number: 207-559-8886
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Mailing Address
-- RUSSELL ALLEN MORRIS P.T.
245 SPUD HILL RD
MAYFIELD, KY 42066-8001
Phone number: 207-559-8886
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