JASON D RUSSELL

FORT WAYNE, IN
NPI1215113089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IN  08002372A)
Enumeration Date2008-01-11
Last Update Date2008-01-11
Business Address
-- JASON D RUSSELL DC
1114 W COOK RD
FORT WAYNE, IN 46825-3214
Phone number: 260-483-5588
Mailing Address
-- JASON D RUSSELL DC
2520 LINCROFT DR
FORT WAYNE, IN 46845-1916
Phone number:
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