CONNIE RUSSELL

WAPANUCKA, OK
NPI1649630856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251K00000X Public Health or Welfare
Enumeration Date2016-03-01
Last Update Date2016-03-01
Business Address
-- CONNIE RUSSELL
502 S CHOCTAW AVE
WAPANUCKA, OK 73461-9235
Phone number: 580-937-4288
Mailing Address
-- CONNIE RUSSELL
502 S CHOCTAW AVE
WAPANUCKA, OK 73461-9235
Phone number: 580-937-4288
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