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1952911810
JOSEPH RUSSELL
HARLINGEN, TX
NPI
1952911810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX AT5679)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
JOSEPH RUSSELL LAT, ATC
1701 W LOZANO ST
HARLINGEN, TX 78550-2168
Phone number: 956-430-4900
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Mailing Address
JOSEPH RUSSELL LAT, ATC
95 POINCIANA DR APT 114
BROWNSVILLE, TX 78521-1446
Phone number: 785-640-2797
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