CARL RALPH RUSSELL

INDIANAPOLIS, IN
NPI1548004435
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
CARL RALPH RUSSELL
340 W 10TH ST
INDIANAPOLIS, IN 46202-3082
Phone number: 317-274-8157
Mailing Address
CARL RALPH RUSSELL
4128 EAGLE LAKE DR
INDIANAPOLIS, IN 46254-3261
Phone number: 925-999-5564