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1639838105
CIERRA RUSS
FORT WORTH, TX
NPI
1639838105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA15349)
Enumeration Date
2021-12-13
Last Update Date
2022-01-28
Business Address
CIERRA RUSS PA-C
800 5TH AVE STE 300
FORT WORTH, TX 76104-7303
Phone number: 817-250-5690
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Mailing Address
CIERRA RUSS PA-C
800 5TH AVE STE 300
FORT WORTH, TX 76104-7303
Phone number: 817-250-5690
Copy
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