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1124092119
ALAN L RUSSELL
MINNEAPOLIS, MN
NPI
1124092119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 9480)
Enumeration Date
2006-02-15
Last Update Date
2007-07-09
Business Address
Dr. ALAN L RUSSELL DDS
2010 27TH AVE S
MINNEAPOLIS, MN 55406-1108
Phone number: 612-336-8478
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Mailing Address
Dr. ALAN L RUSSELL DDS
2010 27TH AVE S
MINNEAPOLIS, MN 55406-1108
Phone number: 612-336-8478
Copy
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