ANNETTE M RUSSELL

CASPER, WY
NPI1861439838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: WY  205)
Enumeration Date2006-05-31
Last Update Date2007-07-08
Business Address
ANNETTE M RUSSELL PA-C
1230 E 1ST ST
CASPER, WY 82601-2704
Phone number: 307-266-3174
Mailing Address
ANNETTE M RUSSELL PA-C
1230 E 1ST ST
CASPER, WY 82601-2704
Phone number: 307-266-3174
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