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1891154548
ALEXANDRA RUSSELL
COLTON, CA
NPI
1891154548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- ALEXANDRA RUSSELL
400 N PEPPER AVE SUITE 107
COLTON, CA 92324-1801
Phone number: 207-431-1016
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Mailing Address
-- ALEXANDRA RUSSELL
PO BOX 266
WISCASSET, ME 04578-0266
Phone number: 207-431-1016
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