RUSSELL LEON PALMER

PRESCOTT, AZ
NPI1851552459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy247100000X Radiologic Technologist
(Licence: AZ  CRT-5873)
Enumeration Date2008-06-17
Last Update Date2008-06-18
Business Address
Mr. RUSSELL LEON PALMER RT, BS
214 WHITE SPAR RD
PRESCOTT, AZ 86303-4236
Phone number: 928-777-9064
Mailing Address
Mr. RUSSELL LEON PALMER RT, BS
1045 SCOTT DR
PRESCOTT, AZ 86301-1731
Phone number: 928-777-9064
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