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1205260577
RUSSELL WL VANDERLINDEN
LIBERTY, MO
NPI
1205260577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2013030774)
Enumeration Date
2013-08-22
Last Update Date
2019-11-26
Business Address
RUSSELL WL VANDERLINDEN FNP
1860 N CHURCH RD
LIBERTY, MO 64068-7179
Phone number: 816-415-2828
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Mailing Address
RUSSELL WL VANDERLINDEN FNP
PO BOX 226
EXCELSIOR SPRINGS, MO 64024-0226
Phone number: 816-520-1710
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