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1508158510
JANINE I RUSSELL
CHARLOTTESVILLE, VA
NPI
1508158510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024169363)
Enumeration Date
2011-05-09
Last Update Date
2013-11-12
Business Address
-- JANINE I RUSSELL APMHNP
313 2ND ST SE STE 211
CHARLOTTESVILLE, VA 22902-5686
Phone number: 434-829-2330
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Mailing Address
-- JANINE I RUSSELL APMHNP
DOWNTOWN HEALING CREATIVE ARTS CENTER 313 SECOND STREET SE, SUITE 211
CHARLOTTESVILLE, VA 22902
Phone number: 434-829-2330
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