ProviderBusinessMailingAddressFaxNumber = '2177535324'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1396835641
ROBERT C RUSSELL M D S C
320 E CARPENTER ST
SPRINGFIELD
IL
627025185
1700823879
RUSSELL
ROBERT
C
320 E CARPENTER ST
SPRINGFIELD
IL
627025185
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