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1689790636
JAMES MICHAEL RUSSELL
FORT WORTH, TX
NPI
1689790636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: TX E3429)
Enumeration Date
2007-03-21
Last Update Date
2014-12-26
Business Address
Mr. JAMES MICHAEL RUSSELL D.O.
6300 TROON RD
FORT WORTH, TX 76132-4426
Phone number: 817-263-4977
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Mailing Address
Mr. JAMES MICHAEL RUSSELL D.O.
6300 TROON RD
FORT WORTH, TX 76132-4426
Phone number: 817-263-4977
Copy
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