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1073137824
RUSSELL BUTLER
PRESCOTT, AZ
NPI
1073137824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ RNP246507)
Enumeration Date
2020-06-07
Last Update Date
2020-08-18
Business Address
RUSSELL BUTLER
1672 OAKLAWN DR
PRESCOTT, AZ 86305-1106
Phone number: 928-445-5339
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Mailing Address
RUSSELL BUTLER
6351 E BOOTHWYN ST
PRESCOTT VALLEY, AZ 86314-6727
Phone number:
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