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1255307278
ALAN S RUSSELL
WICHITA, KS
NPI
1255307278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 1040-2)
Enumeration Date
2006-02-28
Last Update Date
2008-02-26
Business Address
-- ALAN S RUSSELL OD
8111 E HARRY
WICHITA, KS 67207
Phone number: 316-685-7661
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Mailing Address
-- ALAN S RUSSELL OD
1851 N WEBB RD ATTN FLR2
WICHITA, KS 67206-3413
Phone number: 316-636-2010
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