MARY MONICA RUSSELL

FARGO, ND
NPI1912234071
Former NameMARY MONICA BLAINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ND  151)
Enumeration Date2009-11-11
Last Update Date2009-11-11
Business Address
Mrs. MARY MONICA RUSSELL LRD, CDE
1702 EAST ROSE CREEK PARKWAY SOUTH
FARGO, ND 58104-6834
Phone number: 701-239-4946
Mailing Address
Mrs. MARY MONICA RUSSELL LRD, CDE
LANDSTUHL REGIONAL MEDICAL CENTER CMR 402
APO, AE 09180
Phone number: 011491522-131-0207
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