SHANE T RUSSELL

DAYTON, OH
NPI1174558803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OH  35086518)
Enumeration Date2006-07-11
Last Update Date2021-12-03
Business Address
SHANE T RUSSELL MD
6780 LOOP RD
DAYTON, OH 45459-2161
Phone number: 937-434-6344
Mailing Address
SHANE T RUSSELL MD
6780 LOOP RD
DAYTON, OH 45459-2161
Phone number: 937-434-6344
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