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Individual
MR. RUSSELL DONALD THOMPSON JR.
Active
Individual
MR. RUSSELL DONALD THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010076
IL
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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