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1629036017
KATHERINE Y RUSSELL
BINGHAM FARMS, MI
NPI
1629036017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704185467)
Enumeration Date
2006-05-03
Last Update Date
2017-09-06
Business Address
Mrs. KATHERINE Y RUSSELL CRNA
30200 TELEGRAPH RD SUITE 220
BINGHAM FARMS, MI 48025-4502
Phone number: 248-258-5058
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Mailing Address
Mrs. KATHERINE Y RUSSELL CRNA
28129 BROOKHILL ST
FARMINGTON HILLS, MI 48334-5119
Phone number:
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