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1689614356
SUSAN P RUSSELL
ROANOKE, VA
NPI
1689614356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 24166830)
Enumeration Date
2006-06-08
Last Update Date
2008-11-11
Business Address
-- SUSAN P RUSSELL N.P.
213 MCCLANAHAN ST SW
ROANOKE, VA 24014-1721
Phone number: 540-981-8025
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Mailing Address
-- SUSAN P RUSSELL N.P.
1450 BOBLETTS GAP RD
BUCHANAN, VA 24066-5334
Phone number: 540-798-1970
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