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1487895330
DENNIS ALLEN RUSSELL
FORT CAMPBELL, KY
NPI
1487895330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2009-03-23
Last Update Date
2009-03-23
Business Address
-- DENNIS ALLEN RUSSELL
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-6016
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Mailing Address
-- DENNIS ALLEN RUSSELL
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-6016
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