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1932657756
ERICA NICOLE RUSSELL
FORT SAM HOUSTON, TX
NPI
1932657756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1244428)
Enumeration Date
2016-09-21
Last Update Date
2023-09-05
Business Address
ERICA NICOLE RUSSELL
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-5102
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Mailing Address
ERICA NICOLE RUSSELL
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
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