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1548758543
MELINDA ROCHELLE RUSSELL
SOUTHFIELD, MI
NPI
1548758543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704266784)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
MELINDA ROCHELLE RUSSELL NP
23999 NORTHWESTERN HWY STE 114
SOUTHFIELD, MI 48075-2578
Phone number: 248-278-8937
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Mailing Address
MELINDA ROCHELLE RUSSELL NP
18701 BRETTON DR
DETROIT, MI 48223-1379
Phone number: 313-703-9710
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