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1245333046
RANA WYNNE RUSSELL
ESPANOLA, NM
NPI
1245333046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 579441)
Enumeration Date
2006-09-07
Last Update Date
2013-03-22
Business Address
-- RANA WYNNE RUSSELL FNP
528 N CORONADO AVE
ESPANOLA, NM 87532-2790
Phone number: 505-747-6939
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Mailing Address
-- RANA WYNNE RUSSELL FNP
72 IRISH RD
RANCHOS DE TAOS, NM 87557-8753
Phone number: 830-660-2888
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