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Individual
MR. RUSSELL ENGLAND
Active
Individual
MR. RUSSELL ENGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008491
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3008491
LICENSE
KY
Enumeration date
02/25/2014
Last updated
02/25/2014
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