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1043978844
SAMUEL RUSSELL
CHATTANOOGA, TN
NPI
1043978844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 30117)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
SAMUEL RUSSELL FNP-C
6740 LEE HWY
CHATTANOOGA, TN 37421-2423
Phone number: 423-553-9394
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Mailing Address
SAMUEL RUSSELL FNP-C
6740 LEE HWY
CHATTANOOGA, TN 37421-2423
Phone number: 423-553-9394
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