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1861551574
BEVERLY RUSSELL
LOS ANGELES, CA
NPI
1861551574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP223642)
Enumeration Date
2006-12-08
Last Update Date
2008-09-23
Business Address
BEVERLY RUSSELL NP
4733 W SUNSET BLVD
LOS ANGELES, CA 90027-6021
Phone number: 323-783-4011
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Mailing Address
BEVERLY RUSSELL NP
4733 W SUNSET BLVD
LOS ANGELES, CA 90027-6021
Phone number: 323-783-4011
Copy
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