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1083994321
TINA RUSSELL
PLYMOUTH MEETING, PA
NPI
1083994321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN259019L)
Enumeration Date
2011-08-18
Last Update Date
2011-08-18
Business Address
-- TINA RUSSELL LPN
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- TINA RUSSELL LPN
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number:
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