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1043332497
JEFFREY WYAN RUSSELL
ANCHORAGE, AK
NPI
1043332497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AK 371)
Enumeration Date
2007-04-05
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY WYAN RUSSELL MHS, PA-C
2741 DEBARR RD SUITE C-308
ANCHORAGE, AK 99508-2953
Phone number: 907-272-3366
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Mailing Address
Mr. JEFFREY WYAN RUSSELL MHS, PA-C
PO BOX 140386
ANCHORAGE, AK 99514-0386
Phone number: 907-277-0972
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