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1255189130
TIONNA SHARELL RUSSELL
TULSA, OK
NPI
1255189130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OK 082261035)
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
TIONNA SHARELL RUSSELL
9450 E 48TH PL APT 137F
TULSA, OK 74145-7357
Phone number: 539-292-6612
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Mailing Address
TIONNA SHARELL RUSSELL
9450 E 48TH PL APT 137F
TULSA, OK 74145-7357
Phone number: 539-292-6612
Copy
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