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1407052376
ROBERT LARON RUSSELL
LAFAYETTE, IN
NPI
1407052376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2006034008)
Enumeration Date
2007-06-26
Last Update Date
2019-01-24
Business Address
Dr. ROBERT LARON RUSSELL MD
3920 ST FRANCIS WAY STE 209
LAFAYETTE, IN 47905
Phone number: 765-775-2830
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Mailing Address
Dr. ROBERT LARON RUSSELL MD
1040 SIERRA DR STE 400
GREENWOOD, IN 46143-7241
Phone number: 317-528-4800
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