JACOB RUSSELL

LUDINGTON, MI
NPI1114785532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-03-11
Last Update Date2024-03-11
Business Address
JACOB RUSSELL
920 DIANA ST
LUDINGTON, MI 49431-1987
Phone number: 231-845-6294
Mailing Address
JACOB RUSSELL
920 DIANA ST
LUDINGTON, MI 49431-1987
Phone number: 231-845-6294
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