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1891751848
GARY D. RUSSELL
NICHOLSON, PA
NPI
1891751848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD044346E)
Enumeration Date
2006-04-26
Last Update Date
2020-07-14
Business Address
Dr. GARY D. RUSSELL M.D.
RT 11 LACKAWANNA TRAIL
NICHOLSON, PA 18446
Phone number: 570-942-6124
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Mailing Address
Dr. GARY D. RUSSELL M.D.
100 N ACADEMY AVE
DANVILLE, PA 17822-3034
Phone number: 570-271-6144
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