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Individual

RUSSELL DOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1491 T L TOWNSEND DR STE 101, ROCKWALL, TX 75032-4907
(903) 454-0100
Mailing address
1491 T L TOWNSEND DR STE 101, ROCKWALL, TX 75032-4907
(903) 454-0100

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
05/06/2015
Last updated
02/07/2025
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