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1134999600
RUSSELL FIELDS
POPLAR BLUFF, MO
NPI
1134999600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MO 2023036364)
Enumeration Date
2024-01-05
Last Update Date
2024-01-05
Business Address
RUSSELL FIELDS
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3318
Phone number: 573-300-0138
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Mailing Address
RUSSELL FIELDS
273 SHELLY LN
POPLAR BLUFF, MO 63901-7734
Phone number: 573-300-0138
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