ANGELA RUSSELL

FORT STEWART, GA
NPI1164412201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN060765)
Enumeration Date2005-10-27
Last Update Date2007-07-08
Business Address
MRS. ANGELA RUSSELL LPN
1061 HARMON AVE
FORT STEWART, GA 31314-5604
Phone number: 912-435-5680
Mailing Address
MRS. ANGELA RUSSELL LPN
1831 LAWNWOODS DR
HINESVILLE, GA 31313-9481
Phone number: 912-435-6022
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