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1043215809
BYRON DALE RUSSELL
PORT ANGELES, WA
NPI
1043215809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA MD00025573)
Enumeration Date
2005-06-17
Last Update Date
2017-07-19
Business Address
-- BYRON DALE RUSSELL MD
907 GEORGIANA ST
PORT ANGELES, WA 98362-3911
Phone number: 360-565-0999
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Mailing Address
-- BYRON DALE RUSSELL MD
PO BOX 850
PORT ANGELES, WA 98362-0146
Phone number: 360-565-0999
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