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1679549885
WILSON GLOVER RUSSELL
WINSTON-SALEM, NC
NPI
1679549885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NC 24810)
Enumeration Date
2006-02-27
Last Update Date
2016-09-02
Business Address
Dr. WILSON GLOVER RUSSELL MD
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103-3013
Phone number: 336-718-5856
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Mailing Address
Dr. WILSON GLOVER RUSSELL MD
PO BOX 30369
WINSTON SALEM, NC 27130-0369
Phone number: 336-718-5856
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