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1972544559
KRISTIN E RUSSELL
FAYETTEVILLE, NC
NPI
1972544559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 104196)
Enumeration Date
2006-06-08
Last Update Date
2020-08-19
Business Address
KRISTIN E RUSSELL PA-C
1880 QUIET CV
FAYETTEVILLE, NC 28304-3857
Phone number: 910-323-2477
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Mailing Address
KRISTIN E RUSSELL PA-C
1880 QUIET CV
FAYETTEVILLE, NC 28304-3857
Phone number: 910-323-2477
Copy
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