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1558629881
CAITLIN R RUSSELL
JOHNSON CITY, TN
NPI
1558629881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 3070)
Enumeration Date
2012-04-24
Last Update Date
2020-04-14
Business Address
CAITLIN R RUSSELL DO
301 MED TECH PKWY STE 140
JOHNSON CITY, TN 37604-2651
Phone number: 423-794-5530
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Mailing Address
CAITLIN R RUSSELL DO
215 E SPRINGBROOK DR
JOHNSON CITY, TN 37601-1761
Phone number: 423-794-5550
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