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1588215966
VENIUS VERNESTER RUSSELL
NORTH LITTLE ROCK, AR
NPI
1588215966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
VENIUS VERNESTER RUSSELL
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-1000
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Mailing Address
VENIUS VERNESTER RUSSELL
432 GRACE LOOP
DERMOTT, AR 71638-8763
Phone number: 870-538-8284
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