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1932683836
RENE RUSSELL
LEES SUMMIT, MO
NPI
1932683836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 7778)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
RENE RUSSELL DNP
2416 SW WINTERGREEN CT
LEES SUMMIT, MO 64081
Phone number: 816-550-7176
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Mailing Address
RENE RUSSELL DNP
950 CAMPBELL AVE
WEST HAVEN, CT 06516-2770
Phone number:
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