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1164412201
ANGELA RUSSELL
FORT STEWART, GA
NPI
1164412201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN060765)
Enumeration Date
2005-10-27
Last Update Date
2007-07-08
Business Address
Mrs. ANGELA RUSSELL LPN
1061 HARMON AVE
FORT STEWART, GA 31314-5604
Phone number: 912-435-5680
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Mailing Address
Mrs. ANGELA RUSSELL LPN
1831 LAWNWOODS DR
HINESVILLE, GA 31313-9481
Phone number: 912-435-6022
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