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1487656237
GREGG E RUSSELL
MARIETTA, GA
NPI
1487656237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: GA 001349)
Enumeration Date
2005-08-11
Last Update Date
2007-07-08
Business Address
GREGG E RUSSELL OD
895 CANTON RD NE BUILDING 100
MARIETTA, GA 30060-8934
Phone number: 770-427-8111
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Mailing Address
GREGG E RUSSELL OD
895 CANTON RD NE BUILDING 100
MARIETTA, GA 30060-8934
Phone number: 770-427-8111
Copy
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