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Individual
DR. MARK BRENNAN RUSSO
Active
Individual
DR. MARK BRENNAN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1178901
TX
Other
Enumeration date
07/09/2010
Last updated
04/09/2015
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