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1407537442
RUSSELL JOSEPH LACELLE
CLINTON TOWNSHIP, MI
NPI
1407537442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
Mr. RUSSELL JOSEPH LACELLE LVT, Corporal
19649 JOLGREN DR
CLINTON TOWNSHIP, MI 48038-2259
Phone number: 586-909-9875
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Mailing Address
Mr. RUSSELL JOSEPH LACELLE LVT, Corporal
19649 JOLGREN DR
CLINTON TOWNSHIP, MI 48038-2259
Phone number: 586-909-9875
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