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1629061189
JOHN MICHAEL RUSSELL
PALM COAST, FL
NPI
1629061189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: FL ME57356)
Enumeration Date
2005-08-30
Last Update Date
2007-08-22
Business Address
Dr. JOHN MICHAEL RUSSELL M.D.
315 PALM COAST PKWY NE SUITE 3
PALM COAST, FL 32137-3888
Phone number: 386-447-4440
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Mailing Address
Dr. JOHN MICHAEL RUSSELL M.D.
315 PALM COAST PKWY NE SUITE 3
PALM COAST, FL 32137-3888
Phone number: 386-447-4440
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