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1013650563
RUSSELL JAMES DONEVANT
CORPUS CHRISTI, TX
NPI
1013650563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
RUSSELL JAMES DONEVANT MD
2606 HOSPITAL BLVD STE B
CORPUS CHRISTI, TX 78405-1804
Phone number: 361-902-4789
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Mailing Address
RUSSELL JAMES DONEVANT MD
2606 HOSPITAL BLVD STE B
CORPUS CHRISTI, TX 78405-1804
Phone number: 361-902-4789
Copy
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