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1841795945
JAMAL RUSSELL
RUSTON, LA
NPI
1841795945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
JAMAL RUSSELL
829 E GEORGIA AVE
RUSTON, LA 71270-3912
Phone number: 318-242-0730
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Mailing Address
JAMAL RUSSELL
829 E GEORGIA AVE STE 3
RUSTON, LA 71270-3901
Phone number: 318-242-0730
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