JEANINE RUSSELL NORTH

MOBILE, AL
NPI1073055141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  PA.1169)
Enumeration Date2016-11-07
Last Update Date2018-07-06
Business Address
JEANINE RUSSELL NORTH PA
1601 CENTER ST 2N
MOBILE, AL 36604
Phone number: 251-434-3475
Mailing Address
JEANINE RUSSELL NORTH PA
PO BOX 40480
MOBILE, AL 36640-0480
Phone number: 251-434-3626
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