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Individual

MR. RUSSELL CHRISTOPHER MONTALVO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3975 STATE HIGHWAY 6 S STE 700, COLLEGE STATION, TX 77845-5899
(979) 696-2000
Mailing address
1411 DAYTON CT, COLLEGE STATION, TX 77845-9496
(512) 501-9032

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107119
TX

Other

Enumeration date
10/29/2009
Last updated
11/04/2009
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