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1720855208
CHRISTOPHER RUSSELL
WILMINGTON, NC
NPI
1720855208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-14160)
Enumeration Date
2023-12-05
Last Update Date
2024-06-23
Business Address
CHRISTOPHER RUSSELL
4402 SHIPYARD BLVD
WILMINGTON, NC 28403-6161
Phone number: 910-202-3363
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Mailing Address
CHRISTOPHER RUSSELL
4402 SHIPYARD BLVD
WILMINGTON, NC 28403-6161
Phone number: 910-202-3363
Copy
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