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1326574708
ALEXIS JEANAE RUSSELL
SEATTLE, WA
NPI
1326574708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA AP60758217)
Enumeration Date
2017-05-04
Last Update Date
2017-05-04
Business Address
-- ALEXIS JEANAE RUSSELL ARNP
4800 SAND POINT WAY NE
SEATTLE, WA 98105-3901
Phone number: 253-320-1364
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Mailing Address
-- ALEXIS JEANAE RUSSELL ARNP
307 N G ST #B
TACOMA, WA 98403-2220
Phone number: 253-320-1364
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