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Individual

BRENDA RENEE RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7616
(330) 433-1311
(330) 477-7783
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.0016765
OH

Other

Enumeration date
04/02/2020
Last updated
10/18/2023
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