EARL D RUSSELL

BROOKHAVEN, MS
NPI1447412275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R852034)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
-- EARL D RUSSELL FNP
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601-2350
Phone number: 601-823-5301
Mailing Address
-- EARL D RUSSELL FNP
PO BOX 5440
BROOKHAVEN, MS 39603-5440
Phone number: 601-587-7983
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