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1912025784
MARILYN A. RUSSELL
JONESBORO, GA
NPI
1912025784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: GA 008294)
Enumeration Date
2007-03-27
Last Update Date
2024-10-13
Business Address
Dr. MARILYN A. RUSSELL DMD
2844 LAKE PARK DR
JONESBORO, GA 30236-4133
Phone number: 770-478-8459
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Mailing Address
Dr. MARILYN A. RUSSELL DMD
105 CARNEGIE PL SUITE 113
FAYETTEVILLE, GA 30214-3980
Phone number: 678-817-0600
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