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1801021415
TAMMY RUSSUM
PLYMOUTH MEETING, PA
NPI
1801021415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: DE L2-0005567)
Enumeration Date
2009-05-27
Last Update Date
2009-05-27
Business Address
-- TAMMY RUSSUM LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- TAMMY RUSSUM LPN
32759 SPRING WATER DR
MILLSBORO, DE 19966-7127
Phone number:
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