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1790748028
CORY L RUSSELL
ROSEBURG, OR
NPI
1790748028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO169293)
Enumeration Date
2006-04-08
Last Update Date
2015-06-24
Business Address
-- CORY L RUSSELL D.O.
2570 NW EDENBOWER BLVD. STE 100
ROSEBURG, OR 97471
Phone number: 541-957-1111
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Mailing Address
-- CORY L RUSSELL D.O.
2570 NW EDENBOWER BLVD. STE 100
ROSEBURG, OR 97471
Phone number: 541-957-1111
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