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1619257763
JASON THOMAS RUSSELL
MEMPHIS, TN
NPI
1619257763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-08-21
Last Update Date
2011-08-21
Business Address
-- JASON THOMAS RUSSELL
847 MONROE AVE SUITE 226
MEMPHIS, TN 38103-4901
Phone number: 901-448-6036
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Mailing Address
-- JASON THOMAS RUSSELL
7013 ANDREWS RD
BARTLETT, TN 38135-3001
Phone number: 901-491-2100
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