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1891772513
LARRY JOE RUSSELL
HENDERSONVILLE, NC
NPI
1891772513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 9901016)
Enumeration Date
2005-12-22
Last Update Date
2019-08-13
Business Address
Mr. LARRY JOE RUSSELL MD
510 BALSAM RD
HENDERSONVILLE, NC 28792-5703
Phone number: 828-693-4431
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Mailing Address
Mr. LARRY JOE RUSSELL MD
PO BOX 2618
HENDERSONVILLE, NC 28793-2618
Phone number: 828-693-4431
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