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1619212693
RUBEN REGINALD RUSSELL
BEDFORD HTS., OH
NPI
1619212693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: OH OH23128M211)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
Mr. RUBEN REGINALD RUSSELL STNA
22091 LIBBY RD APT 101 AA
BEDFORD HTS., OH 44146
Phone number: 216-392-3108
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Mailing Address
Mr. RUBEN REGINALD RUSSELL STNA
22091 LIBBY RD APT 101 AA
BEDFORD HTS., OH 44146
Phone number: 216-392-3108
Copy