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Individual
MR. RUSSELL EVAN ONG
Active
Individual
MR. RUSSELL EVAN ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1183453
TX
Other
Enumeration date
09/22/2012
Last updated
02/22/2017
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