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1760710552
MARILYN RUSSELL
PLYMOUTH MEETING, PA
NPI
1760710552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS P319855)
Enumeration Date
2009-12-07
Last Update Date
2009-12-07
Business Address
-- MARILYN RUSSELL
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 800-879-4471
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Mailing Address
-- MARILYN RUSSELL
2268 OLD RED STAR DR NW
BROOKHAVEN, MS 39601-8658
Phone number:
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