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1356437024
JENNY S. RUSSELL
ELLINGTON, MO
NPI
1356437024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
JENNY S. RUSSELL
115 WALNUT ST.
ELLINGTON, MO 63638
Phone number: 573-663-3177
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Mailing Address
JENNY S. RUSSELL
PO BOX 579
ELLINGTON, MO 63638-0579
Phone number: 573-663-7529
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