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Individual
MR. RUSSELL KOENIG
Active
Individual
MR. RUSSELL KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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