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1922493055
GEORGE RUSSELL
THORNTON, CO
NPI
1922493055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO ptl0012394)
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- GEORGE RUSSELL PT
12961 LAFAYETTE ST UNIT H
THORNTON, CO 80241-3969
Phone number: 720-508-3422
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Mailing Address
-- GEORGE RUSSELL PT
12961 LAFAYETTE ST UNIT H
THORNTON, CO 80241-3969
Phone number: 720-508-3422
Copy
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