JOHN CALVIN RUSSELL

GRAND ISLAND, NE
NPI1275584070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  815)
Enumeration Date2006-05-15
Last Update Date2017-04-25
Business Address
-- JOHN CALVIN RUSSELL PA
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
Mailing Address
-- JOHN CALVIN RUSSELL PA
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
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