GARY ALLEN RUSSELL

LAFAYETTE, CO
NPI1811478498
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-08-22
Last Update Date2024-12-30
Business Address
Mr. GARY ALLEN RUSSELL
1455 DIXON AVE
LAFAYETTE, CO 80026-8879
Phone number: 720-406-3604
Mailing Address
Mr. GARY ALLEN RUSSELL
1455 DIXON AVE
LAFAYETTE, CO 80026-8879
Phone number: 303-443-8500
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