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1154774651
LISA RUSSELL
SARASOTA, FL
NPI
1154774651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: FL mw333)
Enumeration Date
2016-07-20
Last Update Date
2016-07-20
Business Address
-- LISA RUSSELL LM
4222 MCINTOSH LN
SARASOTA, FL 34232-5027
Phone number: 941-366-2229
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Mailing Address
-- LISA RUSSELL LM
4222 MCINTOSH LN
SARASOTA, FL 34232-5027
Phone number:
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