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1942049937
RILEY L RUSSELL
KANSAS CITY, KS
NPI
1942049937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS TMP-162402)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
RILEY L RUSSELL FNP-C
21 N 12TH ST
KANSAS CITY, KS 66102-5161
Phone number: 913-342-2552
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Mailing Address
RILEY L RUSSELL FNP-C
2706 W 79TH ST
PRAIRIE VILLAGE, KS 66208-3915
Phone number: 785-562-8697
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