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1023271137
RUSSELL MARTIN CARLSON
MOLINE, IL
NPI
1023271137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: IL 135000650)
Enumeration Date
2008-07-08
Last Update Date
2013-05-06
Business Address
Dr. RUSSELL MARTIN CARLSON DPM
520 VALLEY VIEW DR
MOLINE, IL 61265-6152
Phone number: 309-762-3621
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Mailing Address
Dr. RUSSELL MARTIN CARLSON DPM
520 VALLEY VIEW DR
MOLINE, IL 61265-6152
Phone number: 309-762-3621
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