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1508968983
JUDY ANN RUSSELL
TAMPA, FL
NPI
1508968983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL 1016662)
Enumeration Date
2006-09-05
Last Update Date
2012-06-27
Business Address
Mrs. JUDY ANN RUSSELL ARNP
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
Mrs. JUDY ANN RUSSELL ARNP
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
Copy
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