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1427282003
COLLEEN HENDERSON RUSSELL
BURLINGTON, NC
NPI
1427282003
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Other Name
COLLEEN RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L000737)
Enumeration Date
2009-05-11
Last Update Date
2009-05-13
Business Address
-- COLLEEN HENDERSON RUSSELL RD
1238 HUFFMAN MILL RD
BURLINGTON, NC 27215-8700
Phone number: 336-538-8173
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Mailing Address
-- COLLEEN HENDERSON RUSSELL RD
1238 HUFFMAN MILL RD
BURLINGTON, NC 27215-8700
Phone number: 336-538-8173
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