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1932178241
GEORGE R RUSSELL
BOULDER, CO
NPI
1932178241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CO 17600)
Enumeration Date
2006-03-17
Last Update Date
2008-07-25
Business Address
GEORGE R RUSSELL MD
1000 ALPINE AVE #50
BOULDER, CO 80304-3409
Phone number: 303-444-4864
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Mailing Address
GEORGE R RUSSELL MD
PO BOX 18058
BOULDER, CO 80308-1058
Phone number: 303-444-4864
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