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1114610300
TERESA RUSSELL
CORBIN, KY
NPI
1114610300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
TERESA RUSSELL
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
TERESA RUSSELL
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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