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1235145335
RUSSELL WAYNE STEVENS
MOBILE, AL
NPI
1235145335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 00026655)
Enumeration Date
2006-07-31
Last Update Date
2008-08-12
Business Address
-- RUSSELL WAYNE STEVENS MD
5100 RANGELINE SERVICE RD N
MOBILE, AL 36619-9504
Phone number: 251-661-4454
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Mailing Address
-- RUSSELL WAYNE STEVENS MD
5320 HIGHWAY 90 W
MOBILE, AL 36619-4202
Phone number: 251-666-8232
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