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Individual

MRS. APRIL M RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
30 WOODSIDE LN, WEEDSPORT, NY 13166-3147
(315) 277-5281
Mailing address
30 WOODSIDE LN, WEEDSPORT, NY 13166-3147
(315) 277-5281

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
174750-1
NY

Other

Enumeration date
03/24/2008
Last updated
03/24/2008
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