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1073842175
JEFFREY C. RUSSELL
LITTLE ROCK, AR
NPI
1073842175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR R72315)
Enumeration Date
2009-12-18
Last Update Date
2009-12-18
Business Address
-- JEFFREY C. RUSSELL CRNA
9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR 72205-7202
Phone number: 501-202-2029
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Mailing Address
-- JEFFREY C. RUSSELL CRNA
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 72211-4393
Phone number:
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