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1730387051
RUSSELL LEE MARTIN
BECKLEY, WV
NPI
1730387051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2007-07-09
Last Update Date
2007-09-25
Business Address
RUSSELL LEE MARTIN PA-C
200 VETERANS AVE
BECKLEY, WV 25801-6444
Phone number: 304-255-2121
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Mailing Address
RUSSELL LEE MARTIN PA-C
775 MOUNT VIEW RD
COOL RIDGE, WV 25825-9511
Phone number: 304-228-0626
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