RUSSELL DUALE

FORT RUCKER, AL
NPI1811393283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AL  2-063888)
Enumeration Date2014-11-13
Last Update Date2014-11-24
Business Address
MR. RUSSELL DUALE LPN
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLININC
FORT RUCKER, AL 36362
Phone number: 334-255-7746
Mailing Address
MR. RUSSELL DUALE LPN
301 ANDREWS AVE BLDG 301 LAHC BLDG
FORT RUCKER, AL 36362
Phone number: 334-255-7747
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