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1639933484
DANIEL JAMES RUSSELL
BURLINGTON, WI
NPI
1639933484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 13237-33)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
DANIEL JAMES RUSSELL NP
677 E STATE ST
BURLINGTON, WI 53105-1639
Phone number: 262-763-9531
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Mailing Address
DANIEL JAMES RUSSELL NP
8610 45TH AVE
KENOSHA, WI 53142-2435
Phone number: 262-939-4744
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