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1356541692
JERRY RUSSELL
COLUMBUS, OH
NPI
1356541692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OH S.0015942)
Enumeration Date
2007-07-24
Last Update Date
2011-12-19
Business Address
-- JERRY RUSSELL MSW
399 E MAIN ST
COLUMBUS, OH 43215-5384
Phone number: 614-355-8550
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Mailing Address
-- JERRY RUSSELL MSW
PO BOX 715194
COLUMBUS, OH 43271-5194
Phone number: 614-355-8004
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