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1942402037
RUSSELL EDWIN BURKS
MUSCLE SHOALS, AL
NPI
1942402037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH4059)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL EDWIN BURKS DPT
1302 WOODWARD AVE
MUSCLE SHOALS, AL 35661-2236
Phone number: 256-386-0885
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Mailing Address
Mr. RUSSELL EDWIN BURKS DPT
1023 SKY PARK RD
FLORENCE, AL 35634-2432
Phone number: 256-757-8236
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