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1396485918
KIMBERLY DAWN RUSSELL
CHARLESTON, WV
NPI
1396485918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WV 33364)
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
KIMBERLY DAWN RUSSELL
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-344-5924
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Mailing Address
KIMBERLY DAWN RUSSELL
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-344-5924
Copy
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