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Individual

DR. DENNIS L. RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.P.

Contact information

Practice address
2200 H ST, FAIRBURY, NE 68352-1119
(402) 729-3351
(402) 729-2102
Mailing address
20725 S 5TH DR, BEATRICE, NE 68310-6889
(402) 228-4123

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8583
NE

Other

Enumeration date
06/16/2006
Last updated
07/10/2007
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