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1841693330
BRYAN LEE RUSSELL
HUNTSVILLE, AL
NPI
1841693330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-138291)
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
-- BRYAN LEE RUSSELL RN
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-533-1970
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Mailing Address
-- BRYAN LEE RUSSELL RN
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-533-1970
Copy
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