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Individual

TAMERON ELIZABETH RUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1337 LOWER CAMPUS RD, HONOLULU, HI 96822-2352
(808) 956-7144
Mailing address
96 GILLIAM RD, BANNER ELK, NC 28604-7507
(828) 260-0049

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/31/2021
Last updated
05/31/2021
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