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1114543998
MELISSA LYNN RUSSELL
VENTURA, CA
NPI
1114543998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20a21171)
Enumeration Date
2020-06-17
Last Update Date
2023-08-28
Business Address
MELISSA LYNN RUSSELL DO
147 N BRENT ST
VENTURA, CA 93003-2809
Phone number: 805-948-5672
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Mailing Address
MELISSA LYNN RUSSELL DO
147 N BRENT ST
VENTURA, CA 93003-2809
Phone number: 805-948-5672
Copy
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