CODY M RUSSELL

IRONTON, OH
NPI1700398773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  CDCA.166665)
Enumeration Date2017-10-31
Last Update Date2018-05-07
Business Address
CODY M RUSSELL CDCA
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
Mailing Address
CODY M RUSSELL CDCA
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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