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1154815744
JESSICA G RUSSOM
PARAGOULD, AR
NPI
1154815744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
JESSICA G RUSSOM
1910 RECTOR RD
PARAGOULD, AR 72450-2004
Phone number: 870-240-8500
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Mailing Address
JESSICA G RUSSOM
3012 TURMAN DR
JONESBORO, AR 72404-8998
Phone number: 870-819-0200
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