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1053425009
RICKY GORDON RUSSELL
JACKSON, MS
NPI
1053425009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MS 9309)
Enumeration Date
2006-08-18
Last Update Date
2014-01-29
Business Address
Dr. RICKY GORDON RUSSELL MD
501 MARSHALL ST SUITE 603
JACKSON, MS 39202-1651
Phone number: 601-985-9120
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Mailing Address
Dr. RICKY GORDON RUSSELL MD
501 MARSHALL ST SUITE 603
JACKSON, MS 39202-1651
Phone number: 601-985-9120
Copy
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