THEODORE JOSEPH RUSSELL

CLEVELAND, OH
NPI1295216992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-08-22
Last Update Date2018-08-22
Business Address
THEODORE JOSEPH RUSSELL
5209 DETROIT AVE
CLEVELAND, OH 44102-2224
Phone number: 216-432-7200
Mailing Address
THEODORE JOSEPH RUSSELL
5209 DETROIT AVE
CLEVELAND, OH 44102-2224
Phone number: 216-432-7200
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