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1598353724
KIM RUSSELL
ROME, GA
NPI
1598353724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: GA RN234419)
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
KIM RUSSELL
6 MATHIS DR NW
ROME, GA 30165-1242
Phone number: 706-233-9023
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Mailing Address
KIM RUSSELL
6 MATHIS DR NW
ROME, GA 30165-1242
Phone number: 706-233-9023
Copy
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