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Individual

MR. RUSSEL ALDEN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.P.R.N.

Contact information

Practice address
1240 E 100 S STE 14, ST GEORGE, UT 84790-3005
(435) 628-8232
(435) 674-7994
Mailing address
1240 E 100 S STE 14, ST GEORGE, UT 84790-3005
(435) 628-8232
(435) 674-7994

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4937627-4405
UT

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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