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1780625244
SHIRLEY LOUISE RUSSELL
JACKSONVILLE, FL
NPI
1780625244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP 9229120)
Enumeration Date
2006-06-08
Last Update Date
2007-08-20
Business Address
-- SHIRLEY LOUISE RUSSELL ARNP
5915 NORMANDY BLVD
JACKSONVILLE, FL 32205-6200
Phone number: 904-378-0121
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Mailing Address
-- SHIRLEY LOUISE RUSSELL ARNP
8711 PERIMETER PARK BLVD SUITE 6
JACKSONVILLE, FL 32216-6388
Phone number: 904-223-2330
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