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1780722868
KEVIN L. RUSSELL
SAN DIEGO, CA
NPI
1780722868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: AZ 20269)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Dr. KEVIN L. RUSSELL MD, MTM&H
34800 BOB WILSON DR NMCSD
SAN DIEGO, CA 92134-1098
Phone number: 760-522-8973
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Mailing Address
Dr. KEVIN L. RUSSELL MD, MTM&H
1615 E 7TH ST
OKMULGEE, OK 74447-4813
Phone number: 760-522-8973
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