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Individual

MRS. CAROL ANN RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
7305 NORTH MILITARY TRAIL, WEST PALM BEACH, FL 33410-6400
(561) 422-5333
(561) 422-7213
Mailing address
2221 SE HOLLAND ST, PORT SAINT LUCIE, FL 34952-4819
(561) 422-5333
(561) 422-7213

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
12/24/2007
Last updated
12/24/2007
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