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1699045476
MELISSA LANE RUSSELL
SAN ANTONIO, TX
NPI
1699045476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: TX 80129)
Enumeration Date
2012-01-10
Last Update Date
2016-12-21
Business Address
Ms. MELISSA LANE RUSSELL Au.D.
502 MADISON OAK DR SUITE 140
SAN ANTONIO, TX 78258-4084
Phone number: 210-647-3838
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Mailing Address
Ms. MELISSA LANE RUSSELL Au.D.
1534 PALMER VW SUITE 140
SAN ANTONIO, TX 78260-7218
Phone number: 334-391-7638
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