LADON W RUSSELL

JOHNSON CITY, TN
NPI1710970850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  RN0000057110)
Enumeration Date2005-08-24
Last Update Date2007-07-08
Business Address
-- LADON W RUSSELL CRNA
1114 SUNSET DR SUITE 4
JOHNSON CITY, TN 37604-2969
Phone number: 423-283-0776
Mailing Address
-- LADON W RUSSELL CRNA
PO BOX 1070
JOHNSON CITY, TN 37605-1070
Phone number: 423-283-0776
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