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1104060235
RIKKITA RUSSELL
MIAMI, FL
NPI
1104060235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9104888)
Enumeration Date
2009-04-20
Last Update Date
2021-06-03
Business Address
Miss RIKKITA RUSSELL pa-c
8900 SW 117TH AVE SUITE B104
MIAMI, FL 33186-2175
Phone number: 305-279-0159
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Mailing Address
Miss RIKKITA RUSSELL pa-c
8900 SW 117TH AVE SUITE B104
MIAMI, FL 33186-2175
Phone number: 305-279-0159
Copy
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