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1710021183
DAVID RUSSELL
WORCESTER, MA
NPI
1710021183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 1237SL)
Enumeration Date
2007-02-17
Last Update Date
2007-07-08
Business Address
Mr. DAVID RUSSELL
55 LAKE AVE N SPEECH LANGUAGE PATHOLOGY
WORCESTER, MA 01655-0002
Phone number: 508-334-8700
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Mailing Address
Mr. DAVID RUSSELL
281 LINCOLN ST MEDICAL STAFF SERVICES
WORCESTER, MA 01605-2138
Phone number: 508-334-8015
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