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1427793975
RUSSELL PAUL NYCUM
ALTOONA, PA
NPI
1427793975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA SP025550)
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
RUSSELL PAUL NYCUM PMHNP-BC
620 HOWARD AVE
ALTOONA, PA 16601-4804
Phone number: 814-889-4189
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Mailing Address
RUSSELL PAUL NYCUM PMHNP-BC
267 PARK HEIGHTS RD
BEDFORD, PA 15522-3875
Phone number:
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