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1881755403
RUSSELL H HACKETT
DAYTON, OH
NPI
1881755403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: OH 35034882)
Enumeration Date
2006-12-13
Last Update Date
2007-07-09
Business Address
-- RUSSELL H HACKETT MD
1 CHILDRENS PLZ
DAYTON, OH 45404-1898
Phone number: 937-641-3321
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Mailing Address
-- RUSSELL H HACKETT MD
PO BOX 751084
DAYTON, OH 45475-1084
Phone number: 937-853-0286
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