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1942992169
COLTON MATTHEW RUSSELL
WHEELERSBURG, OH
NPI
1942992169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
COLTON MATTHEW RUSSELL
8308 OHIO RIVER RD STE B
WHEELERSBURG, OH 45694-1713
Phone number: 740-529-1201
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Mailing Address
COLTON MATTHEW RUSSELL
8308 OHIO RIVER RD STE B
WHEELERSBURG, OH 45694-1713
Phone number: 740-529-1201
Copy
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