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1194132068
KRISTA GAIL RUSSELL
PORT CHARLOTTE, FL
NPI
1194132068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL 9269076)
Enumeration Date
2014-07-12
Last Update Date
2014-07-12
Business Address
MRS. KRISTA GAIL RUSSELL ARNP, FNP-C
19531 COCHRAN BLVD
PORT CHARLOTTE, FL 33948-2081
Phone number: 941-235-3452
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Mailing Address
MRS. KRISTA GAIL RUSSELL ARNP, FNP-C
23125 HILLSDALE AVE
PORT CHARLOTTE, FL 33954-2455
Phone number: 941-457-9825
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