SUSAN MELISSA RUSSELL

HANSON, KY
NPI1568191997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  110443)
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
SUSAN MELISSA RUSSELL LDO
420 FACTORY OUTLET DR
HANSON, KY 42413-9513
Phone number: 270-821-7177
Mailing Address
SUSAN MELISSA RUSSELL LDO
420 FACTORY OUTLET DR
HANSON, KY 42413-9513
Phone number: 270-821-7177
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