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1285344408
DESIREE RUSSELL
BUCKHANNON, WV
NPI
1285344408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
DESIREE RUSSELL
8 N SPRING ST
BUCKHANNON, WV 26201-2720
Phone number: 304-472-0395
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Mailing Address
DESIREE RUSSELL
4041 HEASTON RIDGE RD
CRAWFORD, WV 26343-8532
Phone number: 304-517-3351
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