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1700842754
SUSAN R. RUSSELL
WILKES BARRE, PA
NPI
1700842754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD044347E)
Enumeration Date
2006-04-26
Last Update Date
2020-08-05
Business Address
Dr. SUSAN R. RUSSELL M.D.
25 CHURCH ST
WILKES BARRE, PA 18702-3507
Phone number: 570-808-3100
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Mailing Address
Dr. SUSAN R. RUSSELL M.D.
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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