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1104823475
W RANDALL RUSSELL
WYNNEWOOD, PA
NPI
1104823475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: PA MD032388E)
Enumeration Date
2005-07-01
Last Update Date
2015-03-27
Business Address
Dr. W RANDALL RUSSELL M.D.
100 E LANCASTER AVE SUITE 151 LANKENAU MOB EAST
WYNNEWOOD, PA 19096-3450
Phone number: 484-476-6492
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Mailing Address
Dr. W RANDALL RUSSELL M.D.
100 E LANCASTER AVE SUITE 151 LANKENAU MOB EAST
WYNNEWOOD, PA 19096-3450
Phone number: 484-476-6492
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