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1063854529
BENJAMIN RUSSELL
TAMPA, FL
NPI
1063854529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
231H00000X Audiologist
(Licence: FL AY1685)
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
Dr. BENJAMIN RUSSELL Au.D.
4202 E FOWLER AVE PCD1017
TAMPA, FL 33620-8200
Phone number: 813-974-8804
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Mailing Address
Dr. BENJAMIN RUSSELL Au.D.
4202 E FOWLER AVE PCD1017
TAMPA, FL 33620-8200
Phone number:
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