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1104572320
RANDA RUSSELL
FORT SMITH, AR
NPI
1104572320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-02-25
Last Update Date
2022-02-25
Business Address
RANDA RUSSELL PRSS,QBHP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
RANDA RUSSELL PRSS,QBHP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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