IAN RUSSELL

GLENDALE, AZ
NPI1093575086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-19
Last Update Date2024-03-19
Business Address
IAN RUSSELL
19555 N 59TH AVE
GLENDALE, AZ 85308-6813
Phone number: 623-572-3200
Mailing Address
IAN RUSSELL
19555 N 59TH AVE
GLENDALE, AZ 85308-6813
Phone number: 623-572-3200
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