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1134680937
LAURA RUSSELL
KANSAS CITY, MO
NPI
1134680937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-26
Last Update Date
2019-08-12
Business Address
LAURA RUSSELL MD
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-4175
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Mailing Address
LAURA RUSSELL MD
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-4175
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