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1003374265
MICHAEL RUSSELL
SPOKANE, WA
NPI
1003374265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WA MD61451324)
Enumeration Date
2019-03-06
Last Update Date
2024-08-13
Business Address
MICHAEL RUSSELL
217 W CATALDO AVE FL 3
SPOKANE, WA 99201-2217
Phone number: 509-747-6194
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Mailing Address
MICHAEL RUSSELL
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number:
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