ADAM RUSSELL

CANADIAN, OK
NPI1932404092
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2011-01-21
Last Update Date2011-01-21
Business Address
-- ADAM RUSSELL
HC 67 BOX 5
CANADIAN, OK 74425-9700
Phone number: 918-339-5800
Mailing Address
-- ADAM RUSSELL
HC 67 BOX 5
CANADIAN, OK 74425-9700
Phone number: 918-339-5800