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1962511709
MAI T RUSSELL
SEATTLE, WA
NPI
1962511709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085N0700X Radiology, Neuroradiology
(Licence: WA MD00045065)
Enumeration Date
2006-08-29
Last Update Date
2009-07-15
Business Address
-- MAI T RUSSELL MD
1200 12TH AVE S
SEATTLE, WA 98144-2712
Phone number: 509-747-4455
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Mailing Address
-- MAI T RUSSELL MD
801 S STEVENS ST
SPOKANE, WA 99204-2654
Phone number: 509-363-7313
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