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1730777657
NATALIE P RUSSELL
LAWRENCEVILLE, GA
NPI
1730777657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA 298014)
Enumeration Date
2021-01-06
Last Update Date
2022-08-17
Business Address
NATALIE P RUSSELL
289 S CULVER ST
LAWRENCEVILLE, GA 30046-4805
Phone number: 415-651-3458
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Mailing Address
NATALIE P RUSSELL
PO BOX 861
GREENSBORO, GA 30642-0861
Phone number: 502-262-5386
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