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1952500654
KATHRYN S RUSSELL
PADUCAH, KY
NPI
1952500654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A00770)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- KATHRYN S RUSSELL PTA
2855 JACKSON ST
PADUCAH, KY 42003-7602
Phone number: 270-415-3618
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Mailing Address
-- KATHRYN S RUSSELL PTA
2855 JACKSON ST
PADUCAH, KY 42003-7602
Phone number: 270-415-3618
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