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1336100569
RUSSELL K. HANES
SIERRA VISTA, AZ
NPI
1336100569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 3507)
Enumeration Date
2006-03-29
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL K. HANES D.D.S.
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635-4614
Phone number: 520-458-2415
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Mailing Address
Dr. RUSSELL K. HANES D.D.S.
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635-4614
Phone number: 520-458-2415
Copy
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