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1811775133
PEGGY RUSSELL
GAINESVILLE, FL
NPI
1811775133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY9008)
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
Dr. PEGGY RUSSELL PhD
4509 NW 23RD AVE STE D
GAINESVILLE, FL 32606-6570
Phone number: 772-801-0802
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Mailing Address
Dr. PEGGY RUSSELL PhD
3900 OAK HAMMOCK LN
FORT PIERCE, FL 34981-4521
Phone number: 850-212-4655
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