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1700193018
RUSSELL A HARGROVE
PHILADELPHIA, PA
NPI
1700193018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN578914)
Enumeration Date
2010-09-08
Last Update Date
2016-08-17
Business Address
-- RUSSELL A HARGROVE CRNA
5501 OLD YORK RD TOWER 3
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-3958
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Mailing Address
-- RUSSELL A HARGROVE CRNA
50 N LA CIENEGA BLVD STE 203
BEVERLY HILLS, CA 90211-2246
Phone number: 215-456-7000
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