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1518904663
CYNTHIA J RUSSELL
LOUISVILLE, KY
NPI
1518904663
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Former Name
CYNTHIA J FANTONI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3654P)
Enumeration Date
2006-05-31
Last Update Date
2007-10-11
Business Address
-- CYNTHIA J RUSSELL ARNP
920 DUPONT RD
LOUISVILLE, KY 40207-4692
Phone number: 502-895-2334
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Mailing Address
-- CYNTHIA J RUSSELL ARNP
2109 OAKFORD CT
LA GRANGE, KY 40031-7541
Phone number: 502-225-0709
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