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1437802527
NICHOLAS CHARLES CLARK RUSSELL
WESTERVILLE, OH
NPI
1437802527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OH 08253)
Enumeration Date
2022-01-31
Last Update Date
2022-03-17
Business Address
NICHOLAS CHARLES CLARK RUSSELL PhD
187 W SCHROCK RD
WESTERVILLE, OH 43081-2890
Phone number: 614-355-7500
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Mailing Address
NICHOLAS CHARLES CLARK RUSSELL PhD
692 RAVENNA CIR
REYNOLDSBURG, OH 43068-1625
Phone number: 385-208-0095
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