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1760174387
CARLI J RUSSELL
TAMPA, FL
NPI
1760174387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11021012)
Enumeration Date
2023-05-23
Last Update Date
2024-04-18
Business Address
CARLI J RUSSELL APRN
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4673
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Mailing Address
CARLI J RUSSELL APRN
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number: 813-745-7365
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