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1053078295
RUSSELL MARTIN ELMS
MADERA, CA
NPI
1053078295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95019159)
Enumeration Date
2021-11-23
Last Update Date
2023-06-07
Business Address
RUSSELL MARTIN ELMS
441 E YOSEMITE AVE
MADERA, CA 93638-3604
Phone number: 559-664-4000
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Mailing Address
RUSSELL MARTIN ELMS
730 N I ST STE 104
MADERA, CA 93637-3078
Phone number:
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