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1528714284
CARA RUSSELL
NORMAL, IL
NPI
1528714284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043-081235)
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
CARA RUSSELL LPN
303 LANDMARK DR STE 2B
NORMAL, IL 61761-6164
Phone number: 303-808-2388
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Mailing Address
CARA RUSSELL LPN
116 1/2 W LOCUST ST APT 3
FAIRBURY, IL 61739-1575
Phone number: 309-262-6777
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