TRENT RUSSELL

MURRAY, UT
NPI1457630642
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2011-08-05
Last Update Date2011-08-05
Business Address
-- TRENT RUSSELL PA
5444 GREEN ST
MURRAY, UT 84123-5632
Phone number: 801-262-8120
Mailing Address
-- TRENT RUSSELL PA
5444 GREEN ST
MURRAY, UT 84123-5632
Phone number: 801-262-8120
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