JARED T RUSSELL

CHARLESTON, WV
NPI1992503718
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  123379)
Enumeration Date2025-03-06
Last Update Date2025-06-27
Business Address
JARED T RUSSELL
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5432
Mailing Address
JARED T RUSSELL
8 NANCY LN
BARBOURSVILLE, WV 25504-1164
Phone number: 304-991-7711
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