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1144740879
DAVID RUSSELL
LAWTON, OK
NPI
1144740879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-06-23
Last Update Date
2022-07-21
Business Address
DAVID RUSSELL
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
DAVID RUSSELL
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
Copy
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