DANIEL RUSSELL

WESTLAND, MI
NPI1023644259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001958)
Enumeration Date2020-03-19
Last Update Date2020-03-19
Business Address
DANIEL RUSSELL
1969 N WAYNE RD
WESTLAND, MI 48185-3773
Phone number: 734-727-9094
Mailing Address
DANIEL RUSSELL
2160 LAKEVIEW DR APT 267
YPSILANTI, MI 48198-6740
Phone number: 708-207-1987
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