CHARLES RUSSELL DURR

BROOKSVILLE, FL
NPI1750946356
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA1826)
Enumeration Date2019-05-08
Last Update Date2019-05-08
Business Address
CHARLES RUSSELL DURR PA
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613-5409
Phone number: 352-569-6632
Mailing Address
CHARLES RUSSELL DURR PA
21130 MARGUERITE RD
BROOKSVILLE, FL 34601-1643
Phone number: 352-796-1743
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