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1689776411
EDWARD L. RUSSELL
SAN ANTONIO, TX
NPI
1689776411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA01214)
Enumeration Date
2006-09-02
Last Update Date
2015-01-12
Business Address
Mr. EDWARD L. RUSSELL PA
720 PLEASANTON RD
SAN ANTONIO, TX 78214-1306
Phone number: 210-921-3800
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Mailing Address
Mr. EDWARD L. RUSSELL PA
720 PLEASANTON RD
SAN ANTONIO, TX 78214-1306
Phone number: 210-921-3800
Copy
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