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1891911400
RYAN RUSS
JUDSONIA, AR
NPI
1891911400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR A0609056)
Enumeration Date
2007-04-18
Last Update Date
2013-06-25
Business Address
Mr. RYAN RUSS LAC
120 MEGHAN LN
JUDSONIA, AR 72081
Phone number: 501-729-4479
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Mailing Address
Mr. RYAN RUSS LAC
120 MEGHAN LN
JUDSONIA, AR 72081-9302
Phone number: 501-729-4479
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