AMY RUSSELL

GARY, IN
NPI1184186397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27056440A)
Enumeration Date2019-04-05
Last Update Date2019-04-05
Business Address
AMY RUSSELL
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
AMY RUSSELL
2730 NEW HAMPSHIRE ST
LAKE STATION, IN 46405-1346
Phone number: 219-671-6187
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