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1811347586
JAMIE LYNN RUSSELL
WINSTON SALEM, NC
NPI
1811347586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5008756)
Enumeration Date
2016-06-14
Last Update Date
2021-08-19
Business Address
JAMIE LYNN RUSSELL Nurse Practitioner
1712 S STRATFORD RD
WINSTON SALEM, NC 27103-2926
Phone number: 336-718-4995
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Mailing Address
JAMIE LYNN RUSSELL Nurse Practitioner
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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