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1578552444
LAINE C RUSSELL
GILLETTE, WY
NPI
1578552444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 6623A)
Enumeration Date
2005-10-13
Last Update Date
2008-01-02
Business Address
-- LAINE C RUSSELL D.O.
407 S MEDICAL ARTS CT SUITE F
GILLETTE, WY 82716-3372
Phone number: 307-682-1441
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Mailing Address
-- LAINE C RUSSELL D.O.
407 S MEDICAL ARTS CT SUITE F
GILLETTE, WY 82716-3372
Phone number: 307-682-1441
Copy
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