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1063271112
KATHERINE LOUISE RUSSELL
ATLANTA, GA
NPI
1063271112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
KATHERINE LOUISE RUSSELL DO
49 JESSE HILL JR DR SE
ATLANTA, GA 30303-3049
Phone number: 404-778-7777
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Mailing Address
KATHERINE LOUISE RUSSELL DO
49 JESSE HILL JR DR SE
ATLANTA, GA 30303-3049
Phone number: 404-778-7777
Copy
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