RUSSELL J CARLSON

ELKHART, IN
NPI1679791438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
-- RUSSELL J CARLSON
2600 OAKLAND AVE
ELKHART, IN 46517-1533
Phone number: 574-533-1234
Mailing Address
-- RUSSELL J CARLSON
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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