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1528151610
ROBERT L RUSSELL
RIDGELAND, MS
NPI
1528151610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 12039)
Enumeration Date
2006-10-02
Last Update Date
2017-02-06
Business Address
DR. ROBERT L RUSSELL MD
305 HIGHWAY 51
RIDGELAND, MS 39157-3428
Phone number: 601-856-9980
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Mailing Address
DR. ROBERT L RUSSELL MD
5606 OLD CANTON RD
JACKSON, MS 39211-4217
Phone number: 601-856-9980
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