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1548004435
CARL RALPH RUSSELL
INDIANAPOLIS, IN
NPI
1548004435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
CARL RALPH RUSSELL
340 W 10TH ST
INDIANAPOLIS, IN 46202-3082
Phone number: 317-274-8157
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Mailing Address
CARL RALPH RUSSELL
4128 EAGLE LAKE DR
INDIANAPOLIS, IN 46254-3261
Phone number: 925-999-5564
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