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1417518747
MARY EILEEN KUMAH RUSSELL
PHOENIX, AZ
NPI
1417518747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AZ 228209)
Enumeration Date
2019-06-26
Last Update Date
2022-03-31
Business Address
MARY EILEEN KUMAH RUSSELL ACNP
625 N 6TH ST
PHOENIX, AZ 85004-2155
Phone number: 602-406-8222
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Mailing Address
MARY EILEEN KUMAH RUSSELL ACNP
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786
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