DENNIS MICHEAL RUSSELL

LEWISTON, ME
NPI1548323090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ME  AT139)
Additional Taxonomies146L00000X Emergency Medical Technician, Paramedic
(Licence: ME  20114)
Enumeration Date2006-12-18
Last Update Date2014-06-15
Business Address
MR. DENNIS MICHEAL RUSSELL ATC, NRP
192 RUSSELL ST
LEWISTON, ME 04240-5435
Phone number: 207-777-6006
Mailing Address
MR. DENNIS MICHEAL RUSSELL ATC, NRP
192 RUSSELL ST
LEWISTON, ME 04240-5435
Phone number: 207-777-6006