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1811393283
RUSSELL DUALE
FORT RUCKER, AL
NPI
1811393283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-063888)
Enumeration Date
2014-11-13
Last Update Date
2014-11-24
Business Address
Mr. RUSSELL DUALE LPN
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLININC
FORT RUCKER, AL 36362
Phone number: 334-255-7746
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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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