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1992041909
LAWRENCE RUSSELL
LITTLE ROCK, AR
NPI
1992041909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-12-19
Last Update Date
2012-12-19
Business Address
-- LAWRENCE RUSSELL
2000 ALDERSGATE RD
LITTLE ROCK, AR 72205-7018
Phone number: 501-217-0183
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Mailing Address
-- LAWRENCE RUSSELL
PO BOX 56050
LITTLE ROCK, AR 72215-6050
Phone number: 501-661-0720
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