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1578914396
SADIE RUSSELL
MISSOULA, MT
NPI
1578914396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MT NUR-APRN-LIC-104257)
Enumeration Date
2016-06-22
Last Update Date
2021-05-11
Business Address
Ms. SADIE RUSSELL
3075 N RESERVE ST STE Q
MISSOULA, MT 59808-1390
Phone number: 406-327-1850
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Mailing Address
Ms. SADIE RUSSELL
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-327-1850
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