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1790843738
RUSSELL GRIFFIN
HOUMA, LA
NPI
1790843738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA APO1347)
Enumeration Date
2006-12-04
Last Update Date
2007-07-09
Business Address
-- RUSSELL GRIFFIN crna
1978 INDUSTRIAL BLVD
HOUMA, LA 70363-7055
Phone number: 985-873-2200
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Mailing Address
-- RUSSELL GRIFFIN crna
602 LOUIS DR
HOUMA, LA 70364-2213
Phone number:
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