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1497434757
LISA NICOLE RUSSELL
WASHINGTON, DC
NPI
1497434757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-13
Last Update Date
2023-07-16
Business Address
LISA NICOLE RUSSELL
3001 BLADENSBURG RD NE # 101
WASHINGTON, DC 20018-2235
Phone number: 202-635-5767
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Mailing Address
LISA NICOLE RUSSELL
6317 PENNSYLVANIA AVE APT 102
DISTRICT HEIGHTS, MD 20747-3003
Phone number: 240-470-6019
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