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1487211306
GARRETT ANDREW RUSSELL
TULSA, OK
NPI
1487211306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-27
Last Update Date
2019-07-25
Business Address
GARRETT ANDREW RUSSELL
102 N DENVER AVE
TULSA, OK 74103-1806
Phone number: 918-582-1200
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Mailing Address
GARRETT ANDREW RUSSELL
777 N SILVER SPRINGS BLVD APT 404
WICHITA, KS 67212-6004
Phone number: 918-638-8377
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