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1679598718
PEGGY M RUSSELL
AUSTIN, TX
NPI
1679598718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: TX F4461)
Enumeration Date
2006-07-12
Last Update Date
2011-05-05
Business Address
-- PEGGY M RUSSELL D.O.
1108 LAVACA ST 110-320
AUSTIN, TX 78701-2172
Phone number: 512-477-4088
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Mailing Address
-- PEGGY M RUSSELL D.O.
1108 LAVACA ST 110-320
AUSTIN, TX 78701-2172
Phone number: 512-477-4088
Copy
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