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1508950379
JAMES RUSSELL
SAPULPA, OK
NPI
1508950379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 13810)
Enumeration Date
2006-10-03
Last Update Date
2010-06-09
Business Address
Mr. JAMES RUSSELL MD
308 S MAIN ST
SAPULPA, OK 74066-4110
Phone number: 918-224-3081
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Mailing Address
Mr. JAMES RUSSELL MD
308 S MAIN ST
SAPULPA, OK 74066-4110
Phone number: 918-224-3081
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