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1841380235
RUSSELL B KIMBALL
AUGUSTA, ME
NPI
1841380235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA590)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- RUSSELL B KIMBALL PA-C
250 ARSENAL ST
AUGUSTA, ME 04333-0011
Phone number: 207-624-4657
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Mailing Address
-- RUSSELL B KIMBALL PA-C
31 JOHNSON STREET
SOUTH GARDINER, ME 04359
Phone number: 207-512-2318
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