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1720739881
RUSSELL MATTHEWS
CLINTON, NC
NPI
1720739881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NC 5015703)
Enumeration Date
2022-01-11
Last Update Date
2022-04-18
Business Address
RUSSELL MATTHEWS
408 FAIRVIEW ST
CLINTON, NC 28328-2312
Phone number: 910-596-2400
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Mailing Address
RUSSELL MATTHEWS
408 FAIRVIEW ST
CLINTON, NC 28328-2312
Phone number: 910-596-2400
Copy
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