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1245577378
KENNETH LADON RUSSELL
OKLAHOMA CITY, OK
NPI
1245577378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-01-09
Last Update Date
2013-01-09
Business Address
Mr. KENNETH LADON RUSSELL
11000 SPRINGHOLLOW RD
OKLAHOMA CITY, OK 73120-5021
Phone number: 405-245-1303
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Mailing Address
Mr. KENNETH LADON RUSSELL
11000 SPRINGHOLLOW RD
OKLAHOMA CITY, OK 73120-5021
Phone number: 405-245-1303
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