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1013357458
HORACE AINSLEY RUSSELL
CANTON, MS
NPI
1013357458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS T-2711)
Enumeration Date
2013-06-30
Last Update Date
2021-12-15
Business Address
Dr. HORACE AINSLEY RUSSELL MD
161 RIVER OAKS DR
CANTON, MS 39046-5375
Phone number: 601-376-2832
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Mailing Address
Dr. HORACE AINSLEY RUSSELL MD
PO BOX 321359
FLOWOOD, MS 39232-1359
Phone number: 601-936-1395
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