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1992775456
CALVIN RUSSELL
MARION, IN
NPI
1992775456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01024365)
Enumeration Date
2006-01-25
Last Update Date
2007-07-08
Business Address
CALVIN RUSSELL M.D.
1391 N BALDWIN AVE
MARION, IN 46952-1913
Phone number: 765-662-2534
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Mailing Address
CALVIN RUSSELL M.D.
1391 N BALDWIN AVE
MARION, IN 46952-1913
Phone number: 765-662-2534
Copy
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