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1891909024
CAROLE RUSSELL
BERKELEY, CA
NPI
1891909024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 3525)
Enumeration Date
2007-05-09
Last Update Date
2007-07-16
Business Address
-- CAROLE RUSSELL N.P.
3260 SACRAMENTO ST
BERKELEY, CA 94702-2739
Phone number: 510-601-6060
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Mailing Address
-- CAROLE RUSSELL N.P.
3260 SACRAMENTO ST
BERKELEY, CA 94702-2739
Phone number:
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