DAVID RUSSELL

COCOA, FL
NPI1518209790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: FL  5024)
Enumeration Date2013-03-26
Last Update Date2013-03-26
Business Address
-- DAVID RUSSELL CBHT
1407 DIXON BLVD
COCOA, FL 32922-6411
Phone number: 321-452-0800
Mailing Address
-- DAVID RUSSELL CBHT
1407 DIXON BLVD
COCOA, FL 32922-6411
Phone number: 321-452-0800
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