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Misty Russell
NPI 1225672637 · on the registry since 2019 · sole proprietor
Practice
- Address
- 420 Green St
Perrysville, IN 47974 - Phone
- (812) 201-7403
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana