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1932404092
ADAM RUSSELL
CANADIAN, OK
NPI
1932404092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-01-21
Last Update Date
2011-01-21
Business Address
ADAM RUSSELL
HC 67 BOX 5
CANADIAN, OK 74425-9700
Phone number: 918-339-5800
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Mailing Address
ADAM RUSSELL
HC 67 BOX 5
CANADIAN, OK 74425-9700
Phone number: 918-339-5800
Copy
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