RUSSELL NATHANIEL WHITAKER

PEDRO, OH
NPI1417490327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-11-25
Last Update Date2016-11-25
Business Address
-- RUSSELL NATHANIEL WHITAKER B.S
115 PRIVATE ROAD 977
PEDRO, OH 45659-8608
Phone number: 740-451-0407
Mailing Address
-- RUSSELL NATHANIEL WHITAKER B.S
115 PRIVATE ROAD 977
PEDRO, OH 45659-8608
Phone number: 740-451-0407
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