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Individual

MS. DEBORAH JEAN RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
18945 FM 2252, SUITE 115, GARDEN RIDGE, TX 78266-2562
(210) 651-0027
(210) 651-0029
Mailing address
18945 FM 2252, SUITE 115, GARDEN RIDGE, TX 78266
(210) 651-0027
(210) 651-0029

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
273285
MA
163W00000X
Registered Nurse
Primary
536984
CA

Other

Enumeration date
09/23/2009
Last updated
09/23/2009
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