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1689931602
RYAN CORY RUSSELL
TEMPLE, TX
NPI
1689931602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TX Q2841)
Enumeration Date
2012-04-15
Last Update Date
2021-12-23
Business Address
RYAN CORY RUSSELL M.D.
2401 S 31ST ST MS-20-D304
TEMPLE, TX 76508-0001
Phone number: 254-724-5306
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Mailing Address
RYAN CORY RUSSELL M.D.
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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