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1225142409
RUSSELL T DIRKSEN
SPRINGFIELD, MO
NPI
1225142409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: MO 695)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL T DIRKSEN D.P.M.
929 E MONTCLAIR ST SUITE 100
SPRINGFIELD, MO 65807-5068
Phone number: 417-883-1881
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Mailing Address
Dr. RUSSELL T DIRKSEN D.P.M.
929 E MONTCLAIR ST SUITE 100
SPRINGFIELD, MO 65807-5068
Phone number: 417-883-1881
Copy
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