RUSSELL WAYNE FALLIN

OMAHA, NE
NPI1235712548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  1106)
Enumeration Date2021-05-04
Last Update Date2021-05-04
Business Address
RUSSELL WAYNE FALLIN
1941 S 42ND ST STE 210
OMAHA, NE 68105-2946
Phone number: 402-341-6220
Mailing Address
RUSSELL WAYNE FALLIN
124 N 38TH AVE APT 1
OMAHA, NE 68131-2384
Phone number: 573-777-4076
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