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1275592776
RUSSELL C ELLENBERG
RICHMOND, VA
NPI
1275592776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine Nephrology
(Licence: VA 0101041671)
Enumeration Date
2006-03-22
Last Update Date
2008-01-30
Business Address
RUSSELL C ELLENBERG MD
2201 E MAIN ST
RICHMOND, VA 23223-7071
Phone number: 804-643-3061
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Mailing Address
RUSSELL C ELLENBERG MD
2201 E MAIN ST
RICHMOND, VA 23223-7071
Phone number: 804-643-3061
Copy
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