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1396744256
RUSSELL WALL
WASHINGTON, DC
NPI
1396744256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: DC 13441)
Enumeration Date
2005-07-21
Last Update Date
2012-03-15
Business Address
-- RUSSELL WALL
3800 RESERVOIR RD NW
WASHINGTON, DC 20007-2113
Phone number: 202-444-8640
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Mailing Address
-- RUSSELL WALL
PO BOX 418283
BOSTON, MA 02241-8283
Phone number: 703-558-1544
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