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Individual
RUSSELL J KORT
Active
Individual
RUSSELL J KORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273147
OR
Other
Enumeration date
07/13/2006
Last updated
02/05/2020
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