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1396126041
JOE RUSSELL
TAHLEQUAH, OK
NPI
1396126041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 6050)
Enumeration Date
2015-06-17
Last Update Date
2021-03-23
Business Address
Dr. JOE RUSSELL D.O.
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
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Mailing Address
Dr. JOE RUSSELL D.O.
PO BOX 1008
TAHLEQUAH, OK 74465-1008
Phone number: 918-458-2406
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