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1649936832
CRAIG JENSEN RUSSELL
TEMPLE, TX
NPI
1649936832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA15096)
Enumeration Date
2021-11-11
Last Update Date
2022-02-22
Business Address
CRAIG JENSEN RUSSELL PA-C
7556 HONEYSUCKLE
TEMPLE, TX 76502-5631
Phone number: 254-742-7400
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Mailing Address
CRAIG JENSEN RUSSELL PA-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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