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1740379171
RUSSELL STEPHEN SHAPIRO
KLAMATH FALLS, OR
NPI
1740379171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 200650114 NP)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL STEPHEN SHAPIRO PMHNP
501 MAIN ST SUITE 208
KLAMATH FALLS, OR 97601-6049
Phone number: 541-273-1166
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Mailing Address
Mr. RUSSELL STEPHEN SHAPIRO PMHNP
1172 HARBOR ISLE BLVD
KLAMATH FALLS, OR 97601-1297
Phone number: 541-331-9016
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