CARL RUSSELL

KENNETT, MO
NPI1376865279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-02-18
Last Update Date2010-02-18
Business Address
-- CARL RUSSELL
925 HIGHWAY V V
KENNETT, MO 63857
Phone number: 573-888-5925
Mailing Address
-- CARL RUSSELL
500 US HIGHWAY 61 NORTH
HAYTI, MO 63851
Phone number:
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