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1922399849
ALEXANDRA DENISE RUSSELL
POPLAR BLUFF, MO
NPI
1922399849
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Former Name
ALEXANDRA DENISE COE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2010031805)
Enumeration Date
2011-04-26
Last Update Date
2013-08-06
Business Address
-- ALEXANDRA DENISE RUSSELL DPT
225 PHYSICIANS PARK SUITE 101
POPLAR BLUFF, MO 63901-3956
Phone number: 573-778-9348
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Mailing Address
-- ALEXANDRA DENISE RUSSELL DPT
2725 N WESTWOOD BLVD SUITE 17
POPLAR BLUFF, MO 63901-2346
Phone number: 573-778-9348
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