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1255304440
DEBRA G RUSSELL
POPLAR BLUFF, MO
NPI
1255304440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO MO076908)
Enumeration Date
2006-02-09
Last Update Date
2012-08-31
Business Address
Ms. DEBRA G RUSSELL FNP
225 PHYSICIANS PARK STE 203
POPLAR BLUFF, MO 63901-3921
Phone number: 573-686-4750
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Mailing Address
Ms. DEBRA G RUSSELL FNP
PO BOX 699
POPLAR BLUFF, MO 63902-0699
Phone number: 573-686-4750
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