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1275753204
KIMBERLY J RUSSERT
CANTON, OH
NPI
1275753204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OH RN174201)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- KIMBERLY J RUSSERT RNC
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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Mailing Address
-- KIMBERLY J RUSSERT RNC
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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