CONSTANCE RUSSELL

FAYETTEVILLE, GA
NPI1942630504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies372600000X Adult Companion
Enumeration Date2013-11-19
Last Update Date2013-11-19
Business Address
Dr. CONSTANCE RUSSELL
1572 HIGHWAY 85 N
FAYETTEVILLE, GA 30214-4054
Phone number: 404-597-3334
Mailing Address
Dr. CONSTANCE RUSSELL
1572 HIGHWAY 85 N
FAYETTEVILLE, GA 30214-4054
Phone number: 404-597-3334
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