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1528046695
MARY JO RUSSELL
BETTENDORF, IA
NPI
1528046695
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Former Name
MARY JO FARR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001347)
Enumeration Date
2006-01-09
Last Update Date
2013-11-08
Business Address
-- MARY JO RUSSELL PA-C
2300 53RD AVE SUITE 100
BETTENDORF, IA 52722-7564
Phone number: 563-322-0971
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Mailing Address
-- MARY JO RUSSELL PA-C
2300 53RD AVE SUITE 100
BETTENDORF, IA 52722-7564
Phone number: 563-322-0971
Copy
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