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1154454155
MARIE RUSSELL
SAN DIEGO, CA
NPI
1154454155
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Other Name
MARI RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 188476)
Enumeration Date
2007-03-13
Last Update Date
2012-10-30
Business Address
-- MARIE RUSSELL RN, MN, C-ANP
7944 BIRMINGHAM DR
SAN DIEGO, CA 92123-2705
Phone number: 858-939-4622
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Mailing Address
-- MARIE RUSSELL RN, MN, C-ANP
6620 ANTIGUA BLVD
SAN DIEGO, CA 92124-4011
Phone number: 848-384-7213
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