SAMUEL EDWARD RUSSETT

VANCOUVER, WA
NPI1770061640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-08-02
Last Update Date2018-12-27
Business Address
SAMUEL EDWARD RUSSETT
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6157
Phone number: 360-567-2211
Mailing Address
SAMUEL EDWARD RUSSETT
12901 NE 28TH ST APT 133
VANCOUVER, WA 98682-1229
Phone number: 700-969-0488
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