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1366490948
RUSSELL H WHEATLEY
WINTER PARK, FL
NPI
1366490948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS5336)
Enumeration Date
2006-05-05
Last Update Date
2014-11-06
Business Address
DR. RUSSELL H WHEATLEY D.O.
3099 ALOMA AVE
WINTER PARK, FL 32792-3702
Phone number: 407-677-1140
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Mailing Address
DR. RUSSELL H WHEATLEY D.O.
3099 ALOMA AVE
WINTER PARK, FL 32792-3702
Phone number: 407-677-1140
Copy
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