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1396933701
DORIS YVONNE RUSSELL
DUBUQUE, IA
NPI
1396933701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: MN 81784-9)
Enumeration Date
2007-10-10
Last Update Date
2015-10-20
Business Address
-- DORIS YVONNE RUSSELL RNC,NNP
350 N GRANDVIEW AVE
DUBUQUE, IA 52001-6388
Phone number: 563-589-2406
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Mailing Address
-- DORIS YVONNE RUSSELL RNC,NNP
170 TAFT DR
CLARKSVILLE, TN 37042-3626
Phone number: 931-920-3066
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