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1598543621
LILY MARIE RUSSELL
AUGUSTA, ME
NPI
1598543621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2691)
Enumeration Date
2023-09-19
Last Update Date
2024-08-28
Business Address
LILY MARIE RUSSELL PA-C
15 ENTERPRISE DR
AUGUSTA, ME 04330-7997
Phone number: 207-621-8880
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Mailing Address
LILY MARIE RUSSELL PA-C
1109 TURNER ST
AUBURN, ME 04210-6426
Phone number: 207-513-2896
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