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1689149239
STEPHEN KEN RUSSELL
EL PASO, TX
NPI
1689149239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 34366.1665)
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
STEPHEN KEN RUSSELL FNP-BC
5005 N PIEDRAS ST
EL PASO, TX 79920
Phone number: 915-742-2273
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Mailing Address
STEPHEN KEN RUSSELL FNP-BC
ATTN: CPT STEPHEN RUSSELL 5005 NORTH PIEDRAS STREET
EL PASO, TX 79920
Phone number:
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