CODY RUSSELL

FORT SMITH, AR
NPI1356827109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-07-16
Last Update Date2018-07-16
Business Address
CODY RUSSELL QBHP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
CODY RUSSELL QBHP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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