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Individual

RUSSELL R. AMARU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2321 W DAYTON AIRPORT RD, SHELTON, WA 98584-6319
(360) 427-4596
(360) 427-4654
Mailing address
3357A SIMMONS MILL CT. SW, TUMWATER, WA 98512-7811

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003509
WA

Other

Enumeration date
01/04/2010
Last updated
08/02/2010
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