DR LARRY J RUSSELL INC

CRAWFORDSVILLE, IN
NPI1225388044
Entity TypeOrganization
Authorized ContactLARRY J RUSSELL
President
765-362-1111
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: IN  08000620A)
Enumeration Date2012-09-19
Last Update Date2012-09-19
Business Address
DR LARRY J RUSSELL INC
406 E SOUTH BLVD
CRAWFORDSVILLE, IN 47933-3762
Phone number: 765-362-1111
Mailing Address
DR LARRY J RUSSELL INC
406 E SOUTH BLVD
CRAWFORDSVILLE, IN 47933-3762
Phone number: 765-362-1111
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