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Individual

MS. MICHELLE LYNN RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
320 N 3RD ST STE 416, BURLINGTON, IA 52601-5308
(319) 208-9038
(855) 856-5956
Mailing address
2055 HIGHLAND AVE, BURLINGTON, IA 52601-4449
(319) 759-6424

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002008
IA

Other

Enumeration date
08/08/2013
Last updated
07/22/2021
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