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1457630642
TRENT RUSSELL
MURRAY, UT
NPI
1457630642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2011-08-05
Last Update Date
2011-08-05
Business Address
-- TRENT RUSSELL PA
5444 GREEN ST
MURRAY, UT 84123-5632
Phone number: 801-262-8120
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Mailing Address
-- TRENT RUSSELL PA
5444 GREEN ST
MURRAY, UT 84123-5632
Phone number: 801-262-8120
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