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1003939943
KIMBERLY ANN RUSSELL
MCMINNVILLE, OR
NPI
1003939943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2007-04-07
Last Update Date
2014-12-03
Business Address
-- KIMBERLY ANN RUSSELL B.S
617 NE DAVIS ST
MCMINNVILLE, OR 97128-4716
Phone number: 503-472-4020
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Mailing Address
-- KIMBERLY ANN RUSSELL B.S
1312 WESTBROOK DR NW
SALEM, OR 97304-2955
Phone number: 503-510-3768
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