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1144956822
TIYANNA RUSSELL
CEDAR RAPIDS, IA
NPI
1144956822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 124169)
Enumeration Date
2022-07-26
Last Update Date
2024-02-06
Business Address
TIYANNA RUSSELL
1026 A AVE NE
CEDAR RAPIDS, IA 52402-5036
Phone number: 319-369-7211
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Mailing Address
TIYANNA RUSSELL
1026 A AVE NE
CEDAR RAPIDS, IA 52402-5036
Phone number:
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