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1861602401
TRACEY RUSSELL
PLYMOUTH MEETING, PA
NPI
1861602401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN253327L)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- TRACEY RUSSELL LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- TRACEY RUSSELL LPN
953 E OAK ST
PALMYRA, PA 17078-2820
Phone number:
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