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1760802433
STACY LEE RUSSELL
ANN ARBOR, MI
NPI
1760802433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704207197)
Enumeration Date
2014-04-22
Last Update Date
2019-12-31
Business Address
STACY LEE RUSSELL NP
2850 S INDUSTRIAL HWY STE 50
ANN ARBOR, MI 48104-6792
Phone number: 734-477-7228
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Mailing Address
STACY LEE RUSSELL NP
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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