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1679507768
RUSSELL L MCCLELLAN
WACO, TX
NPI
1679507768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX G8913)
Enumeration Date
2006-07-11
Last Update Date
2008-05-14
Business Address
-- RUSSELL L MCCLELLAN MD
3000 HERRING AVENUE
WACO, TX 76708
Phone number: 254-202-2000
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Mailing Address
-- RUSSELL L MCCLELLAN MD
PO BOX 1888
GREENVILLE, TX 75403
Phone number: 800-945-2455
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