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Individual

RUSSELL WAYNE STEITLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 379-2411
Mailing address
552 STEITLE RD, FREDERICKSBURG, TX 78624-7493
(830) 708-7276

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140324
TX

Other

Enumeration date
01/25/2019
Last updated
01/25/2019
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