LUKE ANDREW RUSSELL

TINKER AFB, OK
NPI1407366453
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-10-04
Last Update Date2017-10-04
Business Address
LUKE ANDREW RUSSELL PA
7050 AIR DEPOT BLVD BLDG 1040
TINKER AFB, OK 73145-8716
Phone number: 405-734-2778
Mailing Address
LUKE ANDREW RUSSELL PA
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2532
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