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Individual
MARY C. RUSSELL
Active
Individual
MARY C. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010-00892
NC
2080P0006X
Developmental - Behavioral Pediatrics Physician
2010-00892
NC
Other
Enumeration date
02/17/2006
Last updated
07/15/2024
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