DERRICK RUSSELL

COLUMBUS, OH
NPI1144959461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-06-10
Last Update Date2024-05-24
Business Address
DERRICK RUSSELL
1739 SHANLEY DR APT 4
COLUMBUS, OH 43224-1245
Phone number: 614-615-3313
Mailing Address
DERRICK RUSSELL
1739 SHANLEY DR APT 4
COLUMBUS, OH 43224-1245
Phone number: 614-615-3313
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