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1174971394
KRISTIN RUSSO
SLIDELL, LA
NPI
1174971394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: LA AP08757)
Enumeration Date
2016-05-27
Last Update Date
2016-10-31
Business Address
KRISTIN RUSSO WHNP-BC
105 MEDICAL CENTER DR SUITE 303
SLIDELL, LA 70461-5544
Phone number: 985-661-3591
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Mailing Address
KRISTIN RUSSO WHNP-BC
105 MEDICAL CENTER DR SUITE 303
SLIDELL, LA 70461-5544
Phone number:
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