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Jan Russell, MHS

Specialist in Anchorage, AK. Individual provider (NPI-1).

NPI number1255466645
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1255466645
Entity type
Individual (NPI-1)
Name
Jan Russell
Credential
MHS
Sex
Female
Sole proprietor
No
Enumeration date
Feb 23, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

3760 Piper Street
Suite Ll139
Anchorage, AK 99504-7459

Phone 907-212-6233 · Fax 907-563-3217

Mailing address

Po Box 196276
Anchorage, AK 99519-6276

Phone 907-212-6233 · Fax 907-563-3217

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