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1972705168
RUSSELL POERNER
PENSACOLA, FL
NPI
1972705168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT4833)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- RUSSELL POERNER PT
4412 N DAVIS HWY
PENSACOLA, FL 32503-2756
Phone number: 850-430-4250
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Mailing Address
-- RUSSELL POERNER PT
4412 N DAVIS HWY
PENSACOLA, FL 32503-2756
Phone number: 850-430-4250
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