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1952788416
SUZANNE RUSSELL
ORLAND PARK, IL
NPI
1952788416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160004450)
Enumeration Date
2015-05-04
Last Update Date
2015-05-04
Business Address
Mrs. SUZANNE RUSSELL LPTA
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number: 708-326-1550
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Mailing Address
Mrs. SUZANNE RUSSELL LPTA
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number: 708-326-1550
Copy
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