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1922177377
JANICE A RUSSELL
CARSON CITY, MI
NPI
1922177377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner Obstetrics & Gynecology
(Licence: MI 5101010614)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
JANICE A RUSSELL NP
401 E ELM ST
CARSON CITY, MI 48811-0670
Phone number: 989-584-3107
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Mailing Address
JANICE A RUSSELL NP
PO BOX 670
CARSON CITY, MI 48811-0670
Phone number: 989-584-3107
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