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1952636425
EARLETTE RUSSELL
LAUREL, MD
NPI
1952636425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 14643)
Enumeration Date
2009-10-16
Last Update Date
2009-10-16
Business Address
EARLETTE RUSSELL PT
14409 GREENVIEW DR STE 102
LAUREL, MD 20708-3293
Phone number: 301-498-8100
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Mailing Address
EARLETTE RUSSELL PT
14409 GREENVIEW DR STE 102
LAUREL, MD 20708-3293
Phone number: 301-498-8100
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